Individual provider Active NPI

Terry Bethel Troup, LPC

  • Mental Health Counselor
  • Southfield, MI
National Provider Identifier
1336439124
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401008287 Issued in MI
Practice address
17352 W 12 Mile Rd
Suite 100
Southfield, MI 48076-2119
Phone
(248) 559-0730
NPI assigned
Apr 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401008287 MI Primary

Addresses

Primary practice location

17352 W 12 Mile Rd
Suite 100
Southfield, MI 48076-2119

Mailing address

18691 Littlefield St
Detroit, MI 48235-1352
Phone (363) 433-6263

Other identifiers 1

IdentifierTypeStateIssuer
6401008287OtherMISTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20260504005833 MI Practitioner - Mental Health Counselor 6608344122 Practice locations: Troy, MI

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

306 Town Ctr Dr
Troy, MI 48084

306 Town Ctr Dr
Troy, MI 48084-1742
Phone (248) 649-8050

418 W Frank St
Caro, MI 48723-1408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401008287MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Day Counseling Mental Health Past Accepting new patients

Organizations & group practices 1

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": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1336439124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18691 LITTLEFIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351352",
            "telephone_number": "363-433-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17352 W 12 MILE RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762119",
            "telephone_number": "248-559-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUP",
        "first_name": "TERRY",
        "middle_name": "BETHEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401008287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "6401008287",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.