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
Last updated
Apr 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3410 LA Primary

Addresses

Primary practice location

414 Magazine CT
Bossier City, LA 71111-6262

Mailing address

414 Magazine CT
Bossier City, LA 71111-6262

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL BetterHelp.com Health Information Exchange (HIE) BetterHelp

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

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 ServicesGroup PAC ID 8628432028, 41 clinicians

Practice addresses (Care Compare)

725 Brentwood Blvd
Lafayette, LA 70503-4405
Phone (337) 393-0678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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.