Individual provider Active NPI

Terrah Pauline Hinson, LPC

  • Professional Counselor
  • High Point, NC
National Provider Identifier
1215908280
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2616 Issued in NC
Practice address
1114 Tangle LN
High Point, NC 27265-9141
Phone
(336) 883-0275
Fax
(336) 889-7005
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2616 NC
Professional Counselor 101YP2500X 2616 NC Primary

Addresses

Primary practice location

1114 Tangle LN
High Point, NC 27265-9141

Mailing address

1114 Tangle LN
High Point, NC 27265-9141
Phone (336) 883-0275

Other identifiers 4

IdentifierTypeStateIssuer
1018ROtherNCBCBSOFNC
6102083MedicaidNC
102883858OtherNCUNITED BEHAVIOR HEALTH
6005841MedicaidNC

Other names 1

  • Terrah Pauline Hinson Other name

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

LicenseStateTypeSpecialty
2616NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Discovery Place of High Point, NC Professional Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1215908280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 TANGLE LN",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659141",
            "telephone_number": "336-883-0275",
            "fax_number": "336-889-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 TANGLE LN",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659141",
            "telephone_number": "336-883-0275",
            "fax_number": "336-889-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINSON",
        "first_name": "TERRAH",
        "middle_name": "PAULINE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2616",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSOFNC",
            "identifier": "1018R",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102083",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIOR HEALTH",
            "identifier": "102883858",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005841",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRAH",
            "last_name": "HINSON",
            "middle_name": "PAULINE",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.