Individual provider Active NPI

Amy Terrell

  • Marriage & Family Therapist
  • Wabash, IN
National Provider Identifier
1285054643
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
85000150A Issued in IN
Practice address
3563 S State Road 13
Wabash, IN 46992-9162
Phone
(260) 563-8453
Fax
(260) 569-0335
NPI assigned
Apr 23, 2014
Sex
Female
Sole proprietor
Yes

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.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Friends Counseling Center Inc 16 clinicians

Practice addresses (Care Compare)

3565 S State Rd
13 Friends Counseling Center
Wabash, IN 46992-9162
Phone (260) 563-8453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240301003768 IN Practitioner - Marriage and Family Therapist 9931544798 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
85000150AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Friends Counseling Center, Inc CurrentSince Feb 15, 2024 Accepting new patients

Locations

1502 W Nelson St
Marion, IN 46952

5230 S Western Ave
Marion, IN 46953
Phone (765) 674-2208

3565 S State Road 13
#C
Wabash, IN 46992

3565 S State Road 13
Wabash, IN 46992

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 85000150A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

3563 S State Road 13
Wabash, IN 46992-9162

Mailing address

3563 S State Road 13
Wabash, IN 46992-9162
Phone (260) 563-8453

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2014.

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1285054643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3563 S STATE ROAD 13",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469929162",
            "telephone_number": "260-563-8453",
            "fax_number": "260-569-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3563 S STATE ROAD 13",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469929162",
            "telephone_number": "260-563-8453",
            "fax_number": "260-569-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "85000150A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wabash, IN

Sources for this page

Verify at the official NPI Registry.