Active NPI
Terrell Ivy, LPC, CPSSP
- Professional Counselor
- Round Rock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 100551
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 100551 | TX | Primary |
| Peer Specialist | 175T00000X | 468 | MS | |
| Professional Counselor | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3329 | MS | MD | Professional Counselor |
| 468 | MS | MD | Peer Specialist |
| 100551 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geode Health of Texas, PLLC | Multi-Specialty | Current | Accepting new patients |
| BSW Geode Clinicians of Texas PLLC | Multi-Specialty | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.