Individual provider Active NPI

Teresa Butler, LCPC

  • Counselor
  • Rockville, MD
National Provider Identifier
1265859086
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC3359 Issued in MD
Practice address
255 Rockville Pike
Suite 145
Rockville, MD 20850-4153
Phone
(240) 777-4392
Fax
(240) 777-4806
NPI assigned
Mar 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC3359 MD Primary

Addresses

Primary practice location

255 Rockville Pike
Suite 145
Rockville, MD 20850-4153

Mailing address

255 Rockville Pike
Suite 145
Rockville, MD 20850-4153
Phone (240) 777-4392

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
LC3359MDMDCounselor

Interoperability endpoints

  • Direct secure messaging: tracey.butler.p3@direct.mcg-hhs.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1265859086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 ROCKVILLE PIKE",
            "address_2": "SUITE 145",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504153",
            "telephone_number": "240-777-4392",
            "fax_number": "240-777-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ROCKVILLE PIKE",
            "address_2": "SUITE 145",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504153",
            "telephone_number": "240-777-4392",
            "fax_number": "240-777-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "TERESA",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC3359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.