Terry Lynn Lively, CPCP

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Practice address

1478 FM 2673
Canyon Lake, TX 78133-4583

Phone

(407) 982-4876

Fax

(407) 650-2754

NPI assigned

Oct 29, 2019

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Terry Lively Enterprises

  • Other Specialist/Technologist
  • Canyon Lake, TX
  • NPI 1336911387

  Specialist/Technologist, Other

  NPD Authorized official

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1184268609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 FM 2673",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781334583",
            "telephone_number": "210-585-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 FM 2673",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781334583",
            "telephone_number": "407-982-4876",
            "fax_number": "407-650-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVELY",
        "first_name": "TERRY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CPCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsay Lauhon
• Constance M Lenderman, LCSW
• Anita Louise Lightfoot, LPC INTERN
• Jordan Coleman Lightner, LPC-ASSOCIATE
• Melanie D Little, LMSW, LCDC
• Jo Ann Luker, LPC
• Lutheran Social Services of the South, Inc. (New Life Children's Treatment Center)
• Tanya Susette Martinez-Cardenas
• Jose Angel Martinez Jr., PA-C
• Kelvin Drew McCoy, LCSW

• Other Specialist/Technologist in Canyon Lake, TX
• Providers in Canyon Lake, TX by specialty
• Other Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.