Terry Basolo, MPA, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1000 Minor Ave Apt 1404
Seattle, WA 98104-1398

Phone

(208) 720-6253

NPI assigned

May 13, 2015

Last updated

May 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Terrance Blaine Basolo Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Suquamish Tribal

  dba Suquamish Wellness Center

  • Adult Mental Health Clinic/Center
  • Suquamish, WA
  • NPI 1083747216

  TX

  Medicare reassignment NPD
• Terry Basolo & Associates, Psychotherapy

  • Mental Health Counselor
  • Bainbridge Island, WA
  • NPI 1336076249
  NPD Authorized official
• Suquamish Tribal

  dba Suquamish Medical Clinic

  • Family Medicine Physician
  • Suquamish, WA
  • NPI 1114674942
  NPD

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1336527027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MINOR AVE APT 1404",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041398",
            "telephone_number": "208-720-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MINOR AVE APT 1404",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041398",
            "telephone_number": "208-720-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASOLO",
        "first_name": "TERRY",
        "credential": "MPA, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRANCE",
            "last_name": "BASOLO",
            "middle_name": "BLAINE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rachel Christine Baska, LMFT
• Brandi Nicole Basket, D.O.
• Sudikshya Baskota, NATUROPATHIC DOCTOR
• Kristen M Basnet, MD
• Seema Basnett, MD
• Elizabeth Basow
• Karen Basra
• Tavinder Pal Basra, MD
• Emily Bass, LICSWA
• Javantae Bass

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.