Individual provider Active NPI

Terrell Ivy, LPC, CPSSP

  • Professional Counselor
  • Round Rock, TX
National Provider Identifier
1326912569
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
100551 Issued in TX
Practice address
7200 Wyoming Springs Dr Ste 1600
Round Rock, TX 78681-4307
Phone
(512) 253-4768
NPI assigned
Oct 1, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 100551 TX Primary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X 468 MS
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 3329 MS

Addresses

Primary practice location

7200 Wyoming Springs Dr Ste 1600
Round Rock, TX 78681-4307

Mailing address

7200 Wyoming Springs Dr Ste 1600
Round Rock, TX 78681-4307
Phone (512) 253-4768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20251121000487 TX Practitioner - Mental Health Counselor 8022500610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geode Health of Texas, PLLCGroup PAC ID 2062896897, 158 clinicians

Practice addresses (Care Compare)

7200 Wyoming Springs Dr
Suite 1600
Round Rock, TX 78681-4307
Phone (512) 588-1439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3329MSMDProfessional Counselor
468MSMDPeer Specialist
100551TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Geode Health of Texas, PLLC Multi-Specialty CurrentSince Nov 10, 2025 Accepting new patients
BSW Geode Clinicians of Texas PLLC Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients

Locations

610 S Watters Rd
Ste 130
Allen, TX 75013
Phone (469) 854-3263

3009 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (469) 808-1690

7200 Wyoming Springs Dr
Ste 1600
Round Rock, TX 78681
Phone (512) 244-3554

Interoperability endpoints

  • Direct secure messaging: terrell.ivy.1@25899.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1326912569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPRINGS DR STE 1600",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814307",
            "telephone_number": "512-253-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPRINGS DR STE 1600",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814307",
            "telephone_number": "512-253-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVY",
        "first_name": "TERRELL",
        "credential": "LPC, CPSSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-01",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "100551",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": "MS",
            "license": "468",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "3329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.