Individual provider Active NPI

Terri Marie Evans, LPC

  • Professional Counselor
  • Savannah, GA
National Provider Identifier
1366093569
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
009350 Issued in GA
Practice address
10500 Abercorn Street
Suite C
Savannah, GA 31419-1156
Phone
(912) 433-4591
NPI assigned
Sep 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8693 SC
Professional Counselor 101YP2500X 009350 GA Primary

Addresses

Primary practice location

10500 Abercorn Street
Suite C
Savannah, GA 31419-1156

Mailing address

1016 Wexler St
Savannah, GA 31415-5272
Phone (912) 433-4591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20250404000875 GA Practitioner - Mental Health Counselor 9638693237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Mental Health Agency LLCGroup PAC ID 3274854823, 5 clinicians

Practice addresses (Care Compare)

6555 Abercorn St
Suite 221
Savannah, GA 31405-5714
Phone (912) 200-9818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009350GAMDMental Health Counselor
8693SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Access Mental Health Agency, LLC CurrentSince Mar 13, 2025 Accepting new patients
Circle of Friends Counseling & Consulting LLC Professional CurrentSince Mar 13, 2025 Accepting new patients
South Carolina Dept of Mental Health Accounting Office PastSince Apr 20, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office PastSince Jul 1, 2023 Accepting new patients

Locations

1903 Phoenix Blvd
Ste 200
College Park, GA 30349
Phone (678) 335-9010

10500 Abercorn St
Ste C
Savannah, GA 31419
Phone (912) 433-4591

6555 Abercorn St
Ste 221
Savannah, GA 31405
Phone (912) 200-9818

101 Feu Follet Rd
Ste 100
Lafayette, LA 70508
Phone (337) 233-1165

Organizations & group practices 4

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": "1569628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1366093569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 WEXLER ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314155272",
            "telephone_number": "912-433-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 ABERCORN STREET",
            "address_2": "SUITE C",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191156",
            "telephone_number": "912-433-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TERRI",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-28",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8693",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "009350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.