Terry Bryan Austin, LPC
Individual provider Active NPI Professional Counselor · Rolla, MO
NPI 1255859336 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1255859336
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2016008355 (MO)
- Practice address
- 1450 E 10TH St
Rolla, MO 65401-3648 - Phone
- (888) 403-1071
- NPI assigned
- Sep 8, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016008355 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Current |
Accepting new patients | |
| Compass Health, Inc | Current |
Accepting new patients |
Locations
1800 Community
#B
Clinton, MO 64735
1800 Community
Clinton, MO 64735
Phone (660) 885-8131
1450 E 10th St
Rolla, MO 65401
Phone (573) 364-7551
155 Park Dr
Saint Robert, MO 65584
Phone (573) 426-2407
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2016008355 | MO | Yes |
Addresses
Primary practice location
1450 E 10TH St
Rolla, MO 65401-3648
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other practice location 1
1450 E 10th St
Rolla, MO 65401-3648
Phone (573) 364-7551
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YP2500X | Medicaid | MO |
Other providers in Rolla, MO
- Marikay Lou Asberry
- Julian Ategeka
- Steven Thomas Atkinson
- Mary Jane Aufdengarten
- Mathew S. Ausmus
- Amanda L Bahr
- Casey Rhae Ball
- Ryan James Ballard
- Steven R Ballard
- Mahmoud Ballout
All providers in Rolla, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.