CARALYNN MAE TENORIO (NPI# 1114318599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114318599 |
| Entity Type | Individual |
| Full Name | CARALYNN MAE TENORIO |
| Other Name | SUSIE MAE TENORIO |
| Credential | CAC III |
| Practice Address |
3225 Independence Rd Canon City CO 81212-9380 |
| Practice Telephone | 7192752351 |
| Practice Fax Number | 7192699386 |
| Mailing Telephone | 7192752351 |
| Mailing Fax Number | 7192699386 |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACC.0006261 | CO | Behavioral Health & Social Service Providers |
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
3225 INDEPENDENCE RD |
| City | CANON CITY |
| State | CO |
| Zip Code | 81212-9380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336194299 | Mary Ann Elizabeth Alessi-richards | Nurse Practitioner | 3225 Independence Rd, Canon City, CO 81212-9380 | 2006-05-22 |
| 1598376691 | Lana Louise Leonard | Social Worker | 3225 Independence Rd, Canon City, CO 81212-9380 | 2020-08-12 |
| 1497399570 | Marc-andre Rameau | Counselor | 3225 Independence Rd, Canon City, CO 81212-9380 | 2019-11-01 |
| 1033779574 | Jenifer Papaccio | Counselor | 3225 Independence Rd, Canon City, CO 81212-9380 | 2019-06-17 |
| 1346700572 | David Bokel | Counselor | 3225 Independence Rd, Canon City, CO 81212-9380 | 2019-03-22 |
| 1992263081 | Stephanie Traub | Counselor | 3225 Independence Rd, Canon City, CO 81212-9380 | 2019-03-07 |
| 1205393204 | Aurelia N Erivynn | Counselor | 3225 Independence Rd, Canon City, CO 81212-9380 | 2019-02-26 |
| 1407327547 | Marci Lauree Harrison Wright | Counselor | 3225 Independence Rd, Canon City, CO 81212-9380 | 2018-12-16 |
| 1669942231 | Dean Garcia Jr. | Peer Specialist | 3225 Independence Rd, Canon City, CO 81212 | 2018-11-27 |
| 1235609975 | Amy Bergant | Peer Specialist | 3225 Independence Rd, Canon City, CO 81212-9380 | 2018-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212393 | Buck Jack LLC | Physical Therapist | Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 | 2020-10-09 |
| 1942841374 | Glorious Works Neurotherapy | Community/Behavioral Health | 115 N 7th Street, Canon City, CO 81212 | 2019-10-07 |
| 1376046292 | Lonnie Mccarron | Social Worker | 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 | 2018-03-16 |
| 1487156964 | Patrick Neil Cox | Case Manager/Care Coordinator | 3239 Independence Road, Canon City, CO 81212 | 2018-03-01 |
| 1831559806 | Justin Ensinger | Counselor | 700 Four Mile Parkway, Canon City, CO 81212 | 2016-03-03 |
| 1710365713 | Amber Conover | Health Educator | 105 N 10th Street, Canon City, CO 81212 | 2015-05-11 |
| 1902073448 | Richard R Williams | Counselor | 612 Field Ave, Canon City, CO 81212 | 2008-05-14 |
| 1861662249 | Huh Inc | Hearing Instrument Specialist | 121 Justice Center Rd Ste D, Canon City, CO 81212 | 2008-03-03 |
| 1013113828 | Deborah Eileen Shock | Nurse Practitioner | 275 W Hwy 50, Canon City, CO 81212 | 2007-06-27 |
| 1245433564 | Lindsey Elizabeth Fish | Internal Medicine | 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 | 2007-06-06 |
| Find all providers in zip 81212 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669942231 | Dean Garcia Jr. | Peer Specialist | 3225 Independence Rd, Canon City, CO 81212 | 2018-11-27 |
| 1235609975 | Amy Bergant | Peer Specialist | 3225 Independence Rd, Canon City, CO 81212-9380 | 2018-11-26 |
| 1679092167 | Keith David Larsen | Peer Specialist | 3239 Independence Rd, Canon City, CO 81212-9380 | 2017-09-15 |
| 1275984841 | Marcia Stassi | Peer Specialist | 3225 Independence Rd, Canon City, CO 81212-9380 | 2016-06-24 |
| 1215385430 | Haline Grublak | Peer Specialist | 3225 Independence Rd, Canon City, CO 81212-9380 | 2016-05-27 |
| 1962865766 | Dusty Dasugo | Peer Specialist | 3225 Independence Rd, Canon City, CO 81212-9380 | 2016-03-30 |
| 1578924155 | Aaron Abbott | Peer Specialist | 3225 Independence Rd, Canon City, CO 81212-9380 | 2016-03-10 |
| 1205223534 | Jordan N. Moloznik | Peer Specialist | 3225 Independence Rd., Canon City, CO 81212 | 2015-04-24 |
| 1720475742 | Sabatina Rowe | Peer Specialist | 3225 Independence Rd, Canon City, CO 81212-9380 | 2015-04-16 |
| 1467843672 | Danika Hamilton | Peer Specialist | 3225 Independence Rd, Canon City, CO 81212-9380 | 2015-02-10 |
| Find all providers in CANON CITY | ||||
| City | CANON CITY |
| Zip Code | 81212 |
Please comment or provide details below to improve the information on CARALYNN MAE TENORIO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.