Anthony Ittner Terndrup, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

205 W Stewart Rd Ste 108
Mount Vernon, WA 98273-9607

Phone

(360) 340-9874

NPI assigned

Feb 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1184762916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "DEER HARBOR",
            "state": "WA",
            "postal_code": "982430093",
            "telephone_number": "360-230-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W STEWART RD STE 108",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982739607",
            "telephone_number": "360-340-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERNDRUP",
        "first_name": "ANTHONY",
        "middle_name": "ITTNER",
        "name_prefix": "Dr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": "FELLOW6813",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C1233",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0367",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nancy A. Taylor, LMP
• Carmen Dorothy Devries Terpstra, ARNP
• Praveena Thammireddy, MBBS
• The Highland Institute, PLLC
• Ce Ce A. Thomas
• Christopher M Thomas, D.O.

• Mental Health Counselor in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.