Individual provider Active NPI

Tehrina J. Terry, MC, LPC

  • Mental Health Counselor
  • Tempe, AZ
National Provider Identifier
1104259217
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-15351 Issued in AZ
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

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LPC-15351AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Strengthening Relationships, PLLC Mental Health PastSince Dec 15, 2019 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.

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.

Verify at the official NPI Registry.