Active NPI
Teri Lynn Gaethe, LPC
- Mental Health Counselor
- Ocean Springs, MS
National Provider Identifier
1306108089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2073
- Practice address
- 2130 Government Street Ste a
Ocean Springs, MS 39564-4459 - Phone
- (614) 477-5467
- NPI assigned
- Jun 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2073 | MS | Primary |
Addresses
Primary practice location
2130 Government Street Ste a
Ocean Springs, MS 39564-4459
Mailing address
3023 Trentwood Dr
Ocean Springs, MS 39564
Phone (614) 477-5467
Other practice location 1
2112 Bienville Blvd Ste J
Ocean Springs, MS 39564-3067
Phone (228) 875-1590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1306108089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 TRENTWOOD DR",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "39564",
"telephone_number": "614-477-5467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 GOVERNMENT STREET STE A",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395644459",
"telephone_number": "614-477-5467"
}
],
"practiceLocations": [
{
"address_1": "2112 Bienville Blvd Ste J",
"address_purpose": "LOCATION",
"city": "Ocean Springs",
"state": "MS",
"postal_code": "395643067",
"country_code": "US",
"telephone_number": "228-875-1590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAETHE",
"first_name": "TERI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-08",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "2073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocean Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.