Individual provider Active NPI

Terrie C Hailey, MFT ASSOCIATE

  • Marriage & Family Therapist
  • Waxahachie, TX
National Provider Identifier
1225337215
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201628 Issued in TX
Practice address
508 Grace St
Waxahachie, TX 75165-3046
Phone
(325) 203-7577
NPI assigned
Mar 16, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201628OtherTXLMFT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250625003206 TX Practitioner - Marriage and Family Therapist 4486166386 Reassigns benefits to 1 organization

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
Senior Psychological Care Dallas I LLCGroup PAC ID 3375717044, 72 clinicians

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

LicenseStateTypeSpecialty
201628TXMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychological Care Dallas I, LLC CurrentSince Jun 16, 2025 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.

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

Verify at the official NPI Registry.