Autumn Terlouw

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7041 20TH Ave
Centerville, MN 55038-9737

Phone

(651) 407-3631

NPI assigned

May 26, 2016

Last updated

May 26, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Minnesota Teen Challenge, Inc

  dba Minnesota Adult & Teen Challenge

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minneapolis, MN
  • NPI 1831574797
  Medicare reassignment NPD
• Family Innovations, Inc.

  dba LifeStance Health

  • Counseling Psychologist
  • Anoka, MN
  • NPI 1992862783
  NPD (past)

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1083062459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7041 20TH AVE",
            "city": "CENTERVILLE",
            "state": "MN",
            "postal_code": "550389737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7041 20TH AVE",
            "city": "CENTERVILLE",
            "state": "MN",
            "postal_code": "550389737",
            "telephone_number": "651-407-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERLOUW",
        "first_name": "AUTUMN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Francis Schlavin Jr., D.C.
• Laurie Ann Schleifer
• Nancy Kay Schwartz
• Sisu Therapy, PLLC
• Kimberly Kay Surve, LMFT
• Shanna Van Duzer, MA, LPCC
• Xong Vang
• Andrea Veech, LPCC
• Jenna Vissell
• Timothy Brian Walsh, LP

• Mental Health Counselor in Centerville, MN
• Providers in Centerville, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.