Terri Jean Roman, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-12827 Issued in AZ

Practice address

1715 W Aspen Ave
Gilbert, AZ 85233-3502

Phone

(480) 343-4352

NPI assigned

Oct 15, 2007

Sex

Female

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 AZ

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gilbert Counselors LLCGroup PAC ID 7416393335, 5 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Gilbert Counselors, LLC

  • Mental Health Counselor
  • Gilbert, AZ
  • NPI 1366947558
  Medicare reassignment Care Compare group NPD
• Az Counselors LLC

  • Mental Health Counselor
  • Gilbert, AZ
  • NPI 1124709886
  NPD Authorized official

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1124216247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 W ASPEN AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333502",
            "telephone_number": "480-343-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 W ASPEN AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333502",
            "telephone_number": "480-343-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "TERRI",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-12827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Rohovit
• June Elizabeth Rolph, RNP
• Noreen Patricia Roman
• Olivia Roman
• Rachel Roman, CCC-SLP
• Ciara Romance, PA-C
• Brittany Romano, OTR/L
• Miranda Angelic Romero, SLPA
• Misty Rayne Romney
• Tanja Romney

• Mental Health Counselor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.
• 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.