Active NPI
Sara Terry, LPC
- Counselor
- Fairfield, CT
National Provider Identifier
1205647104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 007028
- Practice address
- 1506 Post Rd Ste 2
Fairfield, CT 06824-5916 - Phone
- (203) 223-2021
- NPI assigned
- Jan 20, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 007028 | CT | Primary |
Addresses
Primary practice location
1506 Post Rd Ste 2
Fairfield, CT 06824-5916
Mailing address
15 Twelve Oclock Cir
Trumbull, CT 06611-1526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007028 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737331200000",
"number": "1205647104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 TWELVE OCLOCK CIR",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066111526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 POST RD STE 2",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068245916",
"telephone_number": "203-223-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "SARA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-20",
"last_updated": "2025-01-20",
"certification_date": "2025-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "007028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.