MR. THEODORE BRYAN TENNISON CDPT
NPI 1891270153
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since October 02, 2018
1415 CENTER ST, TACOMA, WA 98409(253) 280-9860(253) 280-9870 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2022, Oct 2, 2018 (2 updates tracked since 2018).

About Mr. Theodore Bryan Tennison Cdpt NPPES

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

MR. THEODORE BRYAN TENNISON CDPT (NPI 1891270153) is an individual addiction (substance use disorder) provider in Tacoma, Washington, licensed in Washington (CP61071467) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1891270153
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. THEODORE BRYAN TENNISONCredential: CDPT
Location Address1415 CENTER STTacoma, WA 98409-8210
Mailing AddressPo Box 34703Seattle, WA 98124-1703
Fax(253) 280-9870
Sole ProprietorNo
Enumeration DateOctober 2, 2018
Last NPPES UpdateOctober 19, 20222 updates tracked since enumeration
NPPES CertifiedOctober 19, 2022
NPI 1891270153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CP61071467
1415 CENTER ST, Tacoma, WA 98409

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 (Addiction (Substance Use Disorder))
1415 CENTER ST
TACOMA, WA 98409
Counselor (Addiction (Substance Use Disorder))
1415 CENTER ST
TACOMA, WA 98409
Counselor (Addiction (Substance Use Disorder))
1415 CENTER ST
TACOMA, WA 98409
Clinic/Center (Federally Qualified Health Center (FQHC))
1415 CENTER ST
TACOMA, WA 98409
Counselor (Addiction (Substance Use Disorder))
1415 CENTER ST
TACOMA, WA 98409
Counselor (Addiction (Substance Use Disorder))
1415 CENTER ST
TACOMA, WA 98409

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 Theodore Tennison's NPI number?

The NPI number for Theodore Tennison is 1891270153. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Where is Theodore Tennison located?

Theodore Tennison practices at 1415 Center St, Tacoma, WA 98409. The listed phone number is (253) 280-9860.

What is Theodore Tennison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Theodore Tennison was last updated on October 19, 2022. 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.