Active NPI
Rachel L Terry, LPC
- Professional Counselor
- Mansfield, TX
National Provider Identifier
1336598689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 71268
- Practice address
- 602 Strada Cir
#120
Mansfield, TX 76063-3201 - Phone
- (817) 996-3485
- NPI assigned
- Jun 7, 2016
- Last updated
- Dec 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 71268 | TX | Primary |
Addresses
Primary practice location
602 Strada Cir
#120
Mansfield, TX 76063-3201
Mailing address
602 Strada Cir
#120
Mansfield, TX 76063-3201
Phone (817) 996-3485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71268 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480896000000",
"number": "1336598689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 STRADA CIR",
"address_2": "#120",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760633201",
"telephone_number": "817-996-3485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 STRADA CIR",
"address_2": "#120",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760633201",
"telephone_number": "817-996-3485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "RACHEL",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-07",
"last_updated": "2016-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "71268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.