Individual provider Active NPI

Marcia A. Goncalves-Terlep, IMH

  • Mental Health Counselor
  • Palm Springs, FL
National Provider Identifier
1427203447
Registry record updated Jan 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 12284 Issued in FL
Practice address
2324 S Congress Ave Ste 1F
Palm Springs, FL 33406-7667
Phone
(561) 308-8191
Fax
(561) 439-3707
NPI assigned
Nov 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 12284 FL Primary

Addresses

Primary practice location

2324 S Congress Ave Ste 1F
Palm Springs, FL 33406-7667

Mailing address

1354 Willow Rd
West Palm Beach, FL 33406-5066
Phone (561) 308-8191

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marcia Goncalves Terlep Inc. Mental Health PastSince Jan 1, 2016 Accepting new patients

Organizations & group practices 1

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": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485561600000",
    "number": "1427203447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 WILLOW RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065066",
            "telephone_number": "561-308-8191",
            "fax_number": "561-439-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 S CONGRESS AVE STE 1F",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067667",
            "telephone_number": "561-308-8191",
            "fax_number": "561-439-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONCALVES-TERLEP",
        "first_name": "MARCIA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "IMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2017-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 12284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2017; 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.