Active NPI
Judy S. Terrell, LMFT, PA
- Marriage & Family Therapist
- Morehead City, NC
National Provider Identifier
1285766725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1007
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140Y9 | Other | NC | BCBS PROVIDER NUMBER |
| 6105095 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
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.