Organization Active NPI

Terry Mindfulness Center LLC

  • Professional Counselor
  • Vero Beach, FL
National Provider Identifier
1063885499
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
SW4258 Issued in FL
Legal business name
TERRY MINDFULNESS CENTER LLC
Practice address
333 17TH St
Suite 2T
Vero Beach, FL 32960-5670
Phone
(772) 564-0406
NPI assigned
Nov 6, 2015
Last updated
Nov 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Lisa Terry, MSW, LCSW
Title
President
Phone
(772) 564-0406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X SW4258 FL Primary

Addresses

Primary practice location

333 17TH St
Suite 2T
Vero Beach, FL 32960-5670

Mailing address

333 17TH St
Suite 2T
Vero Beach, FL 32960-5670
Phone (772) 564-0406

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1063885499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 17TH ST",
            "address_2": "SUITE 2T",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605670",
            "telephone_number": "772-564-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 17TH ST",
            "address_2": "SUITE 2T",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605670",
            "telephone_number": "772-564-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY MINDFULNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-564-0406",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "SW4258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.