Organization Active NPI

Judy S. Terrell, LMFT, PA

  • Marriage & Family Therapist
  • Morehead City, NC
National Provider Identifier
1285766725
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1007 Issued in NC
Legal business name
JUDY S. TERRELL, LMFT, PA
Practice address
1205 Arendell St Ste C
Morehead City, NC 28557-4162
Phone
(252) 727-5525
NPI assigned
Mar 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Judy S. Terrell, L.M.F.T.
Title
President
Phone
(252) 422-2403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 1007 NC Primary

Addresses

Primary practice location

1205 Arendell St Ste C
Morehead City, NC 28557-4162

Mailing address

2711 E Fairway Rd
Morehead City, NC 28557-4932
Phone (252) 240-3096

Other identifiers 2

IdentifierTypeStateIssuer
140Y9OtherNCBCBS PROVIDER NUMBER
6105095MedicaidNC

National Provider Directory

National Provider Directory

Locations

1205 Arendell St
Ste C
Morehead City, NC 28557
Phone (252) 727-5525

NPI Registry JSON

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285766725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 E FAIRWAY RD",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574932",
            "telephone_number": "252-240-3096",
            "fax_number": "252-240-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 ARENDELL ST STE C",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574162",
            "telephone_number": "252-727-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY S. TERRELL, LMFT, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TERRELL",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-422-2403",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.M.F.T."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "140Y9",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6105095",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.