Active NPI
Tehrina J. Terry, MC, LPC
- Mental Health Counselor
- Tempe, AZ
National Provider Identifier
1104259217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-15351
- Practice address
- 2131 E Broadway Rd Ste 9
Tempe, AZ 85282-1737 - Phone
- (928) 308-1171
- NPI assigned
- Aug 12, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | LPC-15351 | AZ | Primary |
Addresses
Primary practice location
2131 E Broadway Rd Ste 9
Tempe, AZ 85282-1737
Mailing address
2131 E Broadway Rd Ste 9
Tempe, AZ 85282-1737
Phone (928) 308-1171
Other practice location 1
1901 N Trekell Rd
Casa Grande, AZ 85122-1770
Phone (520) 836-1029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-15351 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Strengthening Relationships, PLLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Tempe, AZ
- NPI 1790322600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1104259217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2131 E BROADWAY RD STE 9",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852821737",
"telephone_number": "928-308-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 E BROADWAY RD STE 9",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852821737",
"telephone_number": "928-308-1171"
}
],
"practiceLocations": [
{
"address_1": "1901 N Trekell Rd",
"address_purpose": "LOCATION",
"city": "Casa Grande",
"state": "AZ",
"postal_code": "851221770",
"country_code": "US",
"telephone_number": "520-836-1029",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TERRY",
"first_name": "TEHRINA",
"middle_name": "J.",
"credential": "MC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-12",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-15351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.