Individual provider Active NPI

Terry Gadson

  • Mental Health Counselor
  • Bronx, NY
National Provider Identifier
1184077331
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007311 Issued in NY
Practice address
370 E 160TH St
Bronx, NY 10451-4404
Phone
(914) 960-0952
NPI assigned
Jul 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 007311 NY Primary

Addresses

Primary practice location

370 E 160TH St
Bronx, NY 10451-4404

Mailing address

111 N 3Rd Ave Apt 4T
Mount Vernon, NY 10550-1338
Phone (914) 668-6426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20240406000127 NY Practitioner - Mental Health Counselor 6103264379 Practice locations: Mount Vernon, NY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

111 N 3Rd Ave
Apt 4T
Mount Vernon, NY 10550-1338
Phone (914) 960-0952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1184077331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N 3RD AVE APT 4T",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105501338",
            "telephone_number": "914-668-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E 160TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514404",
            "telephone_number": "914-960-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADSON",
        "first_name": "TERRY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.