Gwendolyn Erin Nelson-Terry, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

84535 Issued in CA

Practice address

4080 Centre St Ste 202
San Diego, CA 92103-2657

Phone

(619) 383-1900

NPI assigned

Sep 23, 2011

Last updated

Feb 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gwendolyn Nelson-Terry, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1669973152
  NPD (past) Authorized official

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1376826594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 S EL CAMINO REAL UNIT D206",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244975",
            "telephone_number": "415-678-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 CENTRE ST STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032657",
            "telephone_number": "619-383-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON-TERRY",
        "first_name": "GWENDOLYN",
        "middle_name": "ERIN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "84535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Nellis
• Michael J. Nelms, PA-C
• Robert Nelo
• Rylee Hannah Nelsen I
• Sherridan Mahina Nelson Langacker
• Carrie Ann Nelson-Vasquez, M.D.
• Adra Nelson
• Ana Elizabeth Nelson, DO
• Angela Dawn Nelson
• Ayden Nelson

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.