Individual provider Active NPI

Amanda Lynn Terry, LMFT

  • Marriage & Family Therapist
  • Monroe, LA
National Provider Identifier
1033390364
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 1003 Issued in LA
Practice address
7200 Desiard St
Monroe, LA 71203-3913
Phone
(318) 345-8200
Fax
(318) 342-8049
NPI assigned
Nov 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT 1003 LA Primary

Addresses

Primary practice location

7200 Desiard St
Monroe, LA 71203-3913

Mailing address

7200 Desiard St
Monroe, LA 71203-3913
Phone (318) 345-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240426000579 LA Practitioner - Marriage and Family Therapist 9638519408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Finding SolaceGroup PAC ID 2668818972, 14 clinicians

Practice addresses (Care Compare)

403 N 6TH St
Suite 2
West Monroe, LA 71291-4119
Phone (318) 737-7201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1003LAMDPsychologist
MFT 1003LAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Finding Solace Professional CurrentSince Mar 6, 2024 Accepting new patients
Granberry Counseling Center Past Accepting new patients
Louisiana Baptist Children'S Home Past Accepting new patients

Locations

403 N 6th St
Ste 2
West Monroe, LA 71291
Phone (318) 737-7201

Organizations & group practices 3

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": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1033390364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 DESIARD ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712033913",
            "telephone_number": "318-345-8200",
            "fax_number": "318-342-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 DESIARD ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712033913",
            "telephone_number": "318-345-8200",
            "fax_number": "318-342-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "MFT 1003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.