Teresa L Clement, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60366966 Issued in WA

Practice address

1306 Lake View Ave
Snohomish, WA 98290-1844

Phone

(206) 366-9384

Fax

(360) 568-1654

NPI assigned

Jul 15, 2013

Sex

Female

Sole proprietor

No

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.

• Counseling Centers of North Puget Sound

  • Professional Counselor
  • Snohomish, WA
  • NPI 1376673566
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

• Terie Clement Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2013.

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1124469457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 LAKE VIEW AVE",
            "address_2": "PO BOX 292",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901844",
            "telephone_number": "360-568-8737",
            "fax_number": "360-568-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 LAKE VIEW AVE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901844",
            "telephone_number": "206-366-9384",
            "fax_number": "360-568-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "TERESA",
        "middle_name": "L",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60366966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERIE",
            "last_name": "CLEMENT",
            "credential": "LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Snohomish, WA
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.