Individual provider Active NPI

Hatina Terras, LPC

  • Professional Counselor
  • Groton, CT
National Provider Identifier
1265863286
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2457 Issued in CT
Practice address
489 Gold Star Hwy Ste 200
Groton, CT 06340-6227
Phone
(860) 938-0072
Fax
(401) 596-3289
NPI assigned
Dec 1, 2013
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2457 CT Primary

Addresses

Primary practice location

489 Gold Star Hwy Ste 200
Groton, CT 06340-6227

Mailing address

489 Gold Star Hwy Ste 200
Groton, CT 06340-6227
Phone (860) 938-0072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240327001099 CT Practitioner - Mental Health Counselor 3476990318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002457CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insightful Pathways Professional CurrentSince Aug 25, 2024 Accepting new patients

Locations

489 Gold Star Hwy
Ste 200
Groton, CT 06340
Phone (860) 938-0072

Organizations & group practices 2

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": "1385856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1265863286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 GOLD STAR HWY STE 200",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406227",
            "telephone_number": "860-938-0072",
            "fax_number": "860-326-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 GOLD STAR HWY STE 200",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406227",
            "telephone_number": "860-938-0072",
            "fax_number": "401-596-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRAS",
        "first_name": "HATINA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-01",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "2457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

Verify at the official NPI Registry.