Terri Tyson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC011099 Issued in GA

Practice address

140 Lanier Dr.
Apartment 28
Statesboro, GA 30458

Phone

(912) 549-3784

NPI assigned

Feb 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Building Blocks Family Counseling

  • Marriage & Family Therapist
  • Pooler, GA
  • NPI 1487118543
  NPD (past)
• Moore Counseling and Consulting Services, LLC.

  • Marriage & Family Therapist
  • Pooler, GA
  • NPI 1548792682
  NPD (past)

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1316404171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 THORNWOOD CT",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580296",
            "telephone_number": "912-549-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LANIER DR.",
            "address_2": "APARTMENT 28",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "912-549-3784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 S Skinner Ave Unit B",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313223221",
            "country_code": "US",
            "telephone_number": "912-349-8043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYSON",
        "first_name": "TERRI",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC006582",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC011099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Floyd Tucker, NP
• Mike Umbers Turnage, R.PH., VACCINE CERTI
• Chakaela Nicole Turner, MPH, BSN, RN, CHES
• Ethan Ronald Turner
• Stephanie Turner, MS, RD, LD
• Bethrand Okafor Ugwu, PA-C
• Linda A L Upchurch, APRN, BC
• Rodrigo Lorenzo Uribe, D.M.D.
• Bailey Nicole Usher
• Timothy Rollins Ussery, ATC

• Mental Health Counselor in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.