Teras Interventions and Counseling

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

TERAS INTERVENTIONS AND COUNSELING

Practice address

3945 SE Hawthorne Blvd
Portland, OR 97214-5241

Phone

(503) 719-5250

NPI assigned

May 16, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Phillip Broyles, BS,CADCIINPI 1295164432

Title

Executive Director

Phone

(503) 719-5250

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip A Broyles, CADCII

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
  • NPI 1295164432
  NPD Authorized official
• Erika Lynn Budd, CADCII, QMHA

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
  • NPI 1619519576
  NPD (past)

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1184917783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145241",
            "telephone_number": "503-719-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145241",
            "telephone_number": "503-719-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERAS INTERVENTIONS AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "BROYLES",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-719-5250",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS,CADCII"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500658984",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Robert Teo, M.D.
• Amanda Catherine Tep, DO
• Tiffany Alanna Tep, DMD
• Tera Hoffman, PHD, LLC
• Lori M Teraoka, P.A.
• Kyra Renee Terbovich
• Megenagna Assefa Terefe, RN
• Amy Terepka
• Alexandra Lesia Tereszczenko, LMT
• Virginia Terhaar, PH.D.

• Addiction (Substance Use Disorder) Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.