Individual provider Active NPI

Teri G Metropulos, LAPC

  • Professional Counselor
  • Appleton, WI
National Provider Identifier
1013407501
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3886-226 Issued in WI
Practice address
229 S. Morrison
Appleton, WI 54911
Phone
(920) 832-2783
Fax
(920) 832-2635
NPI assigned
May 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3886-226 WI Primary

Addresses

Primary practice location

229 S. Morrison
Appleton, WI 54911

Mailing address

229 S. Morrison
Appleton, WI 54911
Phone (920) 832-2783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131003884 WI Practitioner - Marriage and Family Therapist 3476906959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farrar and Associates Mental Health SCGroup PAC ID 4981031309, 9 clinicians

Practice addresses (Care Compare)

16 Tri Park Way
Appleton, WI 54914-1658
Phone (920) 841-8326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3886-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Farrar and Associates Mental Health SC CurrentSince Dec 1, 2024 Accepting new patients
Mosaic Family Health, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

100 N Oneida St
Appleton, WI 54911
Phone (920) 832-2783

16 Tri Park Way
Appleton, WI 54914
Phone (920) 841-8326

229 S Morrison St
Appleton, WI 54911
Phone (920) 832-2783

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1013407501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 S. MORRISON",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54911",
            "telephone_number": "920-832-2783",
            "fax_number": "920-832-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 S. MORRISON",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54911",
            "telephone_number": "920-832-2783",
            "fax_number": "920-832-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METROPULOS",
        "first_name": "TERI",
        "middle_name": "G",
        "credential": "LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3886-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.