Anthony Terrelonge

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LG14499 Issued in MD

Practice address

13121 Brooklane Dr
Hagerstown, MD 21742-1514

Phone

(301) 733-0330

NPI assigned

Dec 5, 2023

Last updated

Dec 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 MD

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Qualitycare Internet, LLP

  dba QCI Behavioral Health, LLP

  • Mental Health Counselor
  • Hagerstown, MD
  • NPI 1255508404
  Medicare reassignment

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1104693613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W WILSON BLVD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407206",
            "telephone_number": "301-704-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13121 BROOKLANE DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421514",
            "telephone_number": "301-733-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELONGE",
        "first_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LG14499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carole Tchatchoua, CRNP-F
• Nilesh Tejura, MD
• Jeffrey Scott Telemeco, MPT
• Pierre Tema Wobiwo, PHARMD
• Flavine Tembu, CRNP
• Nicholas Terzulli, PTA
• Lauren Teter, PA-C
• Mark R Teunis Sr., OD
• Gunvant K Thaker, M.D.
• Jasmine Ann Thattil

• Mental Health Counselor in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.