DESIREE NICOLE TENNISON LMSW
NPI 1467141556
Counselor - Mental Health in Plano, TX

Active since May 03, 2023Opted out of Medicare · through May 31, 2028
5304 W PLANO PKWY, PLANO, TX 75093(972) 962-9038 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Desiree Nicole Tennison Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESIREE NICOLE TENNISON LMSW (NPI 1467141556) is an individual mental health provider in Plano, Texas, licensed in Texas (105631) and active in the NPI registry since May 2023. She has opted out of Medicare through May 31, 2028 and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1467141556
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDESIREE NICOLE TENNISONCredential: LMSW
Location Address5304 W PLANO PKWYPlano, TX 75093-4821
Mailing Address4204 Dublin Ridge DrCrowley, TX 76036-8923 · (817) 714-3703
Sole ProprietorNo
Enumeration DateMay 3, 2023
NPPES CertifiedMay 3, 2023
✔ NPI 1467141556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TX · 105631
Also ListedSocial WorkerTaxonomy 104100000X · License 105631 (TX)
5304 W PLANO PKWY, Plano, TX 75093

Secondary Practice Location 1

Location 14200 S Hulen St Ste 450Fort Worth, TX 76109-4910 · Phone (817) 524-1811

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Desiree Nicole Tennison Lmsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 31, 2024 through May 31, 2028.

Opt-Out Effective DateMay 31, 2024
Opt-Out In Effect ThroughMay 31, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
5304 W PLANO PKWY
PLANO, TX 75093
Dietitian, Registered
5304 W PLANO PKWY
PLANO, TX 75093
Counselor (Professional)
5304 W PLANO PKWY
PLANO, TX 75093
Counselor (Mental Health)
5304 W PLANO PKWY
PLANO, TX 75093
Counselor (Professional)
5304 W PLANO PKWY
PLANO, TX 75093
Counselor (Professional)
5304 W PLANO PKWY
PLANO, TX 75093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desiree Tennison's NPI number?

The NPI number for Desiree Tennison is 1467141556. It was assigned to this individual provider in the NPPES registry on May 3, 2023.

Where is Desiree Tennison located?

Desiree Tennison practices at 5304 W Plano Pkwy, Plano, TX 75093. The listed phone number is (972) 962-9038.

What is Desiree Tennison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Desiree Tennison enrolled in Medicare?

No. Desiree Tennison has opted out of Medicare through May 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Desiree Tennison was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.