Phillip Terrell

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC6507 Issued in MD

Practice address

2987 Brinkley Rd Apt 102
Temple Hills, MD 20748-6009

Phone

(240) 470-2039

NPI assigned

Sep 16, 2016

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

• Phillip Terrell Other name

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Interdynamics IncGroup PAC ID 2860670213, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Interdynamics, Inc.

  • Psychiatry Physician
  • Landover, MD
  • NPI 1952570343

  DC

  Medicare reassignment Care Compare group NPD
• Interdynamics, Inc.

  • Community/Behavioral Health Agency
  • Landover, MD
  • NPI 1770135261
  NPD (past)

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1336697549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2987 BRINKLEY RD APT 102",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207486009",
            "telephone_number": "240-470-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2987 BRINKLEY RD APT 102",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207486009",
            "telephone_number": "240-470-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "PHILLIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-16",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILLIP",
            "last_name": "TERRELL",
            "credential": "LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tatyana Taylor
• Manyahlishal Telahun, CRNP
• Temple Hills Healthcare
• Temple Hills Specialists
• Elizabeth Temple Roberson
• The Greg Bazemore Concepts LLC
• Lashaun Marie Thomas I
• Lawanda Michelle Thomas
• Lloydejzah Eboni Thompson-Taylor
• Rumonda Thompson, LPN

• Professional Counselor in Temple Hills, MD
• Providers in Temple Hills, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.

Verify at the official NPI Registry.