Individual provider Active NPI

Terry L Favor, LPC

  • Professional Counselor
  • San Angelo, TX
National Provider Identifier
1275571663
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14099 Issued in TX
Practice address
36 E Twohig Ave Ste 600
San Angelo, TX 76903-6486
Phone
(325) 944-2561
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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 14099 TX Primary

Addresses

Primary practice location

36 E Twohig Ave Ste 600
San Angelo, TX 76903-6486

Mailing address

242 N Magdalen
San Angelo, TX 76903
Phone (325) 944-2561

Other identifiers 2

IdentifierTypeStateIssuer
027535601MedicaidTX
3493LCOtherTXBCBS

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
I20231208000959 TX Practitioner - Mental Health Counselor 0840649406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Texas Counseling and Guidance IncGroup PAC ID 3870576937, 28 clinicians

Practice addresses (Care Compare)

36 E Twohig Ave
Suite 600
San Angelo, TX 76903-6486
Phone (325) 944-2561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14099TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Counseling & Guidance Inc Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

242 N Magdalen St
San Angelo, TX 76903
Phone (325) 658-7750

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1275571663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 N MAGDALEN",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76903",
            "telephone_number": "325-944-2561",
            "fax_number": "325-653-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 E TWOHIG AVE STE 600",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036486",
            "telephone_number": "325-944-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVOR",
        "first_name": "TERRY",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027535601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3493LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.