Individual provider Active NPI

Terria Ebarb Alexander, LPC, BC-TMH, C-CATP

  • Counselor
  • Bossier City, LA
National Provider Identifier
1306580378
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3410 Issued in LA
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.

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 41 clinicians

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240418001162 LA Practitioner - Mental Health Counselor 8527407923 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3410LAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea Health Services Texas LLC CurrentSince Aug 1, 2024 Accepting new patients
Azalea Health Services CurrentSince Apr 1, 2024 Accepting new patients
Courtney Miller, LPC North Bossier Counseling Corp Counselor Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3410 LA Primary

Addresses

NPPES NPI Registry

Primary 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
TypeEndpointUseAffiliation
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

Verify at the official NPI Registry.