Active NPI
Terrie C Hailey, MFT ASSOCIATE
- Marriage & Family Therapist
- Waxahachie, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 201628
- Practice address
- 508 Grace St
Waxahachie, TX 75165-3046 - Phone
- (325) 203-7577
- NPI assigned
- Mar 16, 2011
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 201628 | TX | Primary |
Addresses
Primary practice location
508 Grace St
Waxahachie, TX 75165-3046
Mailing address
1250 W Highway 287 Byp Apt 232
Waxahachie, TX 75165-5223
Phone (325) 203-7577
Other practice location 1
2152 Glenn Ln
Glenn Heights, TX 75154-8546
Phone (214) 789-3144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201628 | Other | TX | LMFT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1105 E Fitzgerald St
Bangs, TX 76823-3232
Phone (325) 752-6321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201628 | TX | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psychological Care Dallas I, LLC | Current | Accepting new patients |
Locations
1105 E Fitzgerald St
Bangs, TX 76823
Phone (325) 752-6321
2713 S Commercial Ave
Coleman, TX 76834
Phone (325) 625-4105
1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826
4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (281) 759-2900
434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489
7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Psychologist
- Houston, TX
- NPI 1649566795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1225337215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 W HIGHWAY 287 BYP APT 232",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751655223",
"telephone_number": "325-203-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 GRACE ST",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751653046",
"telephone_number": "325-203-7577"
}
],
"practiceLocations": [
{
"address_1": "2152 Glenn Ln",
"address_purpose": "LOCATION",
"city": "Glenn Heights",
"state": "TX",
"postal_code": "751548546",
"country_code": "US",
"telephone_number": "214-789-3144",
"fax_number": "972-230-5316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAILEY",
"first_name": "TERRIE",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "MFT ASSOCIATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "201628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT",
"identifier": "201628",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.