Active NPI
Terria Ebarb Alexander, LPC, BC-TMH, C-CATP
- Counselor
- Bossier City, LA
National Provider Identifier
1306580378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3410
- Practice address
- 414 Magazine CT
Bossier City, LA 71111-6262 - Phone
- (318) 471-0618
- NPI assigned
- Apr 25, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Clinical Social Worker
- New Braunfels, TX
- NPI 1326871807
-
- Counselor
- Benton, LA
- NPI 1417540170
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Azalea Health Services
Practice addresses (Care Compare)
725 Brentwood Blvd
Lafayette, LA 70503-4405
Phone (337) 393-0678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240418001162 | LA | Practitioner - Mental Health Counselor | 8527407923 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3410 | LA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Azalea Health Services Texas LLC | Current | Accepting new patients | |
| Azalea Health Services | Current | Accepting new patients | |
| Courtney Miller, LPC North Bossier Counseling Corp | Counselor | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3410 | LA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
414 Magazine CT
Bossier City, LA 71111-6262
Mailing address
414 Magazine CT
Bossier City, LA 71111-6262
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | BetterHelp.com | Health Information Exchange (HIE) | BetterHelp |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 25, 2022.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1306580378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 MAGAZINE CT",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711116262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 MAGAZINE CT",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711116262",
"telephone_number": "318-471-0618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "TERRIA",
"middle_name": "EBARB",
"credential": "LPC, BC-TMH, C-CATP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-25",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "3410",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "BetterHelp.com",
"affiliation": "Y",
"endpointDescription": "on-line counseling platform",
"affiliationName": "BetterHelp",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Client Notes",
"address_1": "414 Magazine Ct",
"city": "Bossier City",
"state": "LA",
"country_code": "US",
"postal_code": "711116262",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.