Active NPI
Terri McCrea
- Professional Counselor
- Charleston, SC
National Provider Identifier
1124140140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2580
- Practice address
- 1744 Sam Rittenberg Blvd Ste C
Charleston, SC 29407-4942 - Phone
- (843) 556-3443
- Fax
- (843) 763-7202
- NPI assigned
- Apr 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2580 | SC | Primary |
Addresses
Primary practice location
1744 Sam Rittenberg Blvd Ste C
Charleston, SC 29407-4942
Mailing address
1836 Ashley River Rd
Suite 113
Charleston, SC 29407-4781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2580 | SC | MD | Advanced Practice Midwife |
Interoperability endpoints
- https://api.platform.athenahealth.com/22361/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124140140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 ASHLEY RIVER RD",
"address_2": "SUITE 113",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1744 SAM RITTENBERG BLVD STE C",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074942",
"telephone_number": "843-556-3443",
"fax_number": "843-763-7202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCREA",
"first_name": "TERRI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "2580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.