TENNEILLE ELY LMFT
NPI 1508571019
Marriage & Family Therapist in Peoria, IL

Q: 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.

Q: What is Tenneille Ely's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: 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.

Active since January 18, 2023PECOS Enrolled

3716 W BRIGHTON AVE, PEORIA, IL 61615(309) 692-7755 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1508571019

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameTENNEILLE ELYCredential: LMFT

Location Address3716 W BRIGHTON AVEPeoria, IL 61615-2938

Mailing Address3716 W Brighton AvePeoria, IL 61615-2938 · (309) 692-7755

Phone(309) 692-7755

Sole ProprietorYes

Enumeration DateJanuary 18, 2023

NPPES CertifiedJanuary 18, 2023

✔ NPI 1508571019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

3716 W BRIGHTON AVE, Peoria, IL 61615

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tenneille Ely Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MRS. LINDA L ZEARS MS LCPC

Counselor (Mental Health)