NPIMap

Organization Active NPI

Terros, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mesa, AZ
National Provider Identifier
1194582882
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TERROS, INC.
Practice address
222 E Javelina Ave Ste 1C10
Mesa, AZ 85210-6201
Phone
(602) 685-6000
Fax
(602) 302-7925
NPI assigned
Feb 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Karen Hoffman Tepper, PH.D
Title
Ceo
Phone
(602) 685-6000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

222 E Javelina Ave Ste 1C10
Mesa, AZ 85210-6201

Mailing address

3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Phone (602) 685-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240605001987 AZ Part A Provider - Federally Qualified Health Center (FQHC) 8224077045 Practice locations: Mesa, AZ

Federally qualified health center certification: CCN 031038

Legal name
TERROS, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 9, 2024
Last certification
May 9, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1990 in AZ
Enrollment address
222 E Javelina Ave
Ste 1C10
Mesa, AZ 85210-6201

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Terrosinc35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

  • Terros Inc
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Glendale, AZ
    • NPI 1053104612
    NPD tax ID
  • Terros Inc
    • Federally Qualified Health Center (FQHC)
    • Glendale, AZ
    • NPI 1215720750
    NPD tax ID
  • Terros Inc
    • Federally Qualified Health Center (FQHC)
    • Phoenix, AZ
    • NPI 1265959951
    NPD tax ID
  • Terros Inc
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Phoenix, AZ
    • NPI 1326555376
    NPD tax ID
  • Terros Inc
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Mesa, AZ
    • NPI 1356202360
    NPD tax ID
  • Terros Inc
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Kingman, AZ
    • NPI 1528730546
    NPD tax ID
  • Terros Inc
    • Federally Qualified Health Center (FQHC)
    • Tempe, AZ
    • NPI 1598531378
    NPD tax ID
  • Terros Inc
    • Federally Qualified Health Center (FQHC)
    • Phoenix, AZ
    • NPI 1609555408
    NPD tax ID
  • Terros Inc
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Kingman, AZ
    • NPI 1891580288
    NPD tax ID
  • Terros, Inc
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Phoenix, AZ
    • NPI 1245615780
    NPD tax ID
  • Terros, Inc
    • Federally Qualified Health Center (FQHC)
    • Phoenix, AZ
    • NPI 1518734169
    NPD tax ID
  • Terros, Inc
    • Federally Qualified Health Center (FQHC)
    • Phoenix, AZ
    • NPI 1932975059
    NPD tax ID
View all 34

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jennifer Nye Individual Corporate OfficerChief Operations Officer Aug 1, 2015
W-2 Managing EmployeeChief Operations Officer Aug 1, 2015
William Bidwill Individual Corporate Director Aug 1, 2020
Vanna R Campion Individual Corporate OfficerChief Medical Officer Nov 12, 2024
Monica Trejo Individual Corporate DirectorBoard Member May 26, 2021
Christina Ngo Individual Corporate DirectorBoard Member Oct 1, 2024
Elizabeth Stoltz Individual Corporate DirectorBoard Member May 23, 2023
Michael Duran Individual Corporate Director Dec 19, 2019
Renee Osipov Individual Corporate DirectorBoard Member Oct 1, 2024
Kenneth Poole Individual Corporate DirectorBoard Member Jan 21, 2020
Michael Kurtenbach Individual Corporate DirectorBoard Member Oct 31, 2023
Tyler Straker Individual Corporate DirectorBoard Member Feb 1, 2025
Michael Marion Individual Corporate OfficerChief Financial Officer Jun 9, 2014
W-2 Managing EmployeeChief Financial Officer Jun 9, 2014
Terros, Inc. Organization, Phoenix, AZ Non-profit Operational/Managerial Control May 6, 2022 100%
Calvin Cole Individual Corporate DirectorBoard Member Mar 1, 2017
Karen Hoffman Tepper Individual Corporate OfficerPresident & Ceo May 6, 2022
W-2 Managing EmployeePresident &Ceo May 6, 2022
Buffy T Wooten Individual Corporate Director Jan 26, 2021

Owners & managing parties with NPI records 16

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 16

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Terros, Inc.Glendale, AZ, CCN 031923 Federally qualified health center Operational/Managerial Control (100%) May 26, 1969
Terros HealthPhoenix, AZ, CCN 031934 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 11, 2016
Terros, Inc - FQHC McDowell RdPhoenix, AZ, CCN 031960 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Aug 24, 2017
TerroshealthPhoenix, AZ, CCN 031031 Federally qualified health center Operational/Managerial Control (100%) May 6, 2022
Terros, Inc.Tempe, AZ, CCN 031032 Federally qualified health center Operational/Managerial Control (100%) May 6, 2022
Terros HealthPhoenix, AZ, CCN 031033 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2024
Terros, Inc.Phoenix, AZ, CCN 031044 Federally qualified health center Operational/Managerial Control (100%) Oct 1, 2024
Terros, Inc.Mesa, AZ, CCN 031043 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2024
Terros, Inc.Phoenix, AZ, CCN 031045 Federally qualified health center Operational/Managerial Control (100%) Oct 1, 2024
Terros HealthPhoenix, AZ, CCN 031051 Federally qualified health center Operational/Managerial Control (100%) Oct 1, 2024
Terros HealthPhoenix, AZ, CCN 031048 Federally qualified health center Operational/Managerial Control Oct 1, 2024
Terros, Inc.Glendale, AZ, CCN 031058 Federally qualified health center Operational/Managerial Control (100%) Mar 21, 2025

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Terros Inc
    • Federally Qualified Health Center (FQHC)
    • Glendale, AZ
    • NPI 1215720750

    Operational/Managerial Control

    CMS ownership
  • Terros Inc
    • Federally Qualified Health Center (FQHC)
    • Phoenix, AZ
    • NPI 1265959951

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Terros Inc
    • Federally Qualified Health Center (FQHC)
    • Tempe, AZ
    • NPI 1598531378

    Operational/Managerial Control

    CMS ownership
  • Terros, Inc
    • Federally Qualified Health Center (FQHC)
    • Phoenix, AZ
    • NPI 1518734169

    Operational/Managerial Control

    CMS ownership
  • Terros, Inc
    • Federally Qualified Health Center (FQHC)
    • Phoenix, AZ
    • NPI 1932975059

    Operational/Managerial Control

    CMS ownership
  • Terros, Inc.
    • Federally Qualified Health Center (FQHC)
    • Phoenix, AZ
    • NPI 1053142018

    Operational/Managerial Control

    CMS ownership
  • Terros, Inc.
    • Federally Qualified Health Center (FQHC)
    • Phoenix, AZ
    • NPI 1134950066

    Operational/Managerial Control

    CMS ownership
  • Terros, Inc.
    • Federally Qualified Health Center (FQHC)
    • Mesa, AZ
    • NPI 1194556845

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Terros, Inc.
    • Federally Qualified Health Center (FQHC)
    • Phoenix, AZ
    • NPI 1235590712

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Terros, Inc.
    • Federally Qualified Health Center (FQHC)
    • Glendale, AZ
    • NPI 1699173245

    Operational/Managerial Control

    CMS ownership
  • Terros, Inc.
    • Federally Qualified Health Center (FQHC)
    • Phoenix, AZ
    • NPI 1831923093

    Operational/Managerial Control

    CMS ownership
  • Terros, Inc.
    • Federally Qualified Health Center (FQHC)
    • Phoenix, AZ
    • NPI 1881425700

    Operational/Managerial Control

    CMS ownership

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1194582882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122929",
            "telephone_number": "602-685-6000",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E JAVELINA AVE STE 1C10",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106201",
            "telephone_number": "602-685-6000",
            "fax_number": "602-302-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERROS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN TEPPER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-685-6000",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.