Individual provider Active NPI

Elaina Rashid Terry, MA, LPC

  • Mental Health Counselor
  • Creedmoor, NC
National Provider Identifier
1083048524
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10123 Issued in NC
Practice address
116 W Church St
Creedmoor, NC 27522-9747
Phone
(252) 425-7527
NPI assigned
Aug 31, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10123 NC Primary

Addresses

Primary practice location

116 W Church St
Creedmoor, NC 27522-9747

Mailing address

2227 Bayswater Dr
Creedmoor, NC 27522-7837
Phone (252) 425-7527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20251031003974 NC Practitioner - Mental Health Counselor 0244729853 Practice locations: Creedmoor, NC

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

116 W Church St
Creedmoor, NC 27522-9747
Phone (252) 425-7527

132 Whispering Hills LN
Chesnee, SC 29323-7915

2227 Bayswater Dr
Creedmoor, NC 27522-7837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
10123NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elaina Terry, Ma, LPC, NCC Mental Health CurrentSince Aug 25, 2019 Accepting new patients
Forward Momentum Therapeutic Solutions, PLLC CurrentSince Jun 21, 2022 Accepting new patients

Locations

116 W Church St
Creedmoor, NC 27522
Phone (252) 425-7527

116 W Church St
#2227
Creedmoor, NC 27522

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": "1377907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1083048524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 BAYSWATER DR",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275227837",
            "telephone_number": "252-425-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W CHURCH ST",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275229747",
            "telephone_number": "252-425-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "ELAINA",
        "middle_name": "RASHID",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-31",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creedmoor, NC

Sources for this page

Verify at the official NPI Registry.