TENNEILLE ELY LMFT
NPI 1508571019
Marriage & Family Therapist in Peoria, IL
About Tenneille Ely Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TENNEILLE ELY LMFT (NPI 1508571019) is an individual marriage & family therapist in Peoria, Illinois and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tenneille Ely Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tenneille Ely reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 16 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tenneille Ely's NPI number?
The NPI number for Tenneille Ely is 1508571019. It was assigned to this individual provider in the NPPES registry on January 18, 2023.
Where is Tenneille Ely located?
Tenneille Ely practices at 3716 W Brighton Ave, Peoria, IL 61615. The listed phone number is (309) 692-7755.
What is Tenneille Ely's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Tenneille Ely enrolled in Medicare?
Yes. Tenneille Ely is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tenneille Ely's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tenneille Ely reassigns Medicare benefits to John Day & Associates, Ltd (Peoria, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tenneille Ely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tenneille Ely was last updated on January 18, 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.
# Tenneille Ely, LMFT · NPI 1508571019
Marriage & Family Therapist provider in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since January 18, 2023.
## Identity
- **NPI:** 1508571019 (Entity type: Individual)
- **Enumerated:** January 18, 2023
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3716 W BRIGHTON AVE, Peoria, IL 61615-2938
- **Phone:** (309) 692-7755
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** John Day & Associates, Ltd (NPI 1245454313, Peoria, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1508571019) · Data from the CMS NPPES public registry.