Active NPI
Terra P Johnson, LMHC
- Mental Health Counselor
- Stanwood, WA
National Provider Identifier
1043942923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC.LH.61622833
- Practice address
- 7202 267TH St NW Ste 104a
Stanwood, WA 98292-6270 - Phone
- (425) 331-9769
- NPI assigned
- Jun 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC.LH.61622833 | WA | Primary |
Addresses
Primary practice location
7202 267TH St NW Ste 104a
Stanwood, WA 98292-6270
Mailing address
7202 267TH St NW Ste 104a
Stanwood, WA 98292-6270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 4, 2024 through Dec 4, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC.LH.61622833 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1043942923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7202 267TH ST NW STE 104A",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982926270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7202 267TH ST NW STE 104A",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982926270",
"telephone_number": "425-331-9769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TERRA",
"middle_name": "P",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-29",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MHC.LH.61622833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stanwood, WA
- Marci Jennings, LMT
- Connie Jensen, LMP
- Samuel Jewell
- Joel P. Gardner, DMD, PS
- Karie Lynn Johnson, PHARMACY TECHNICIAN
- Joanne Jornales, CAAR
- Joseph Eidsness, DDS, PLLC (Port Susan Dental)
- Josephine Caring Community (Josephine at Home)
- Josephine Caring Community (Josephine At Home)
- Thomas Jung, THOMAS JUNG
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.