Individual provider Active NPI

Wayne Allen Terpstra Jr., NCC, LMHC, CASAC,

  • Mental Health Counselor
  • Plattsburgh, NY
National Provider Identifier
1154855633
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
013406 Issued in NY
Practice address
32 Huntington Dr
Plattsburgh, NY 12901-6611
Phone
(518) 314-9412
NPI assigned
Apr 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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 013406 NY Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 31397 NY

Addresses

Primary practice location

32 Huntington Dr
Plattsburgh, NY 12901-6611

Mailing address

32 Huntington Dr
Plattsburgh, NY 12901-6611
Phone (518) 314-9412

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31397NYMDAddiction (Substance Use Disorder) Counselor
013406NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Happiness Mental Health Counseling PLLC Mental Health CurrentSince Jan 19, 2025 Accepting new patients
Clinton County Past Accepting new patients
Clinton County Addiction (Substance Use Disorder) PastSince Mar 19, 2009 Accepting new patients

Organizations & group practices 3

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1154855633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HUNTINGTON DR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016611",
            "telephone_number": "518-314-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HUNTINGTON DR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016611",
            "telephone_number": "518-314-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERPSTRA",
        "first_name": "WAYNE",
        "middle_name": "ALLEN",
        "name_suffix": "Jr.",
        "credential": "NCC, LMHC, CASAC,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013406",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "31397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.