Organization Active NPI

Terra Therapies, PLLC

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1457844953
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
66955 Issued in TX
Legal business name
TERRA THERAPIES, PLLC
Practice address
1706 Enderly PL
Fort Worth, TX 76104-4122
Phone
(817) 907-0022
Fax
(817) 945-1456
NPI assigned
Jun 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Authorized official

Name
Courtney J Guhl, LPCNPI 1649515198
Title
Business Owner
Phone
(817) 907-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 66955 TX Primary

Addresses

Primary practice location

1706 Enderly PL
Fort Worth, TX 76104-4122

Mailing address

4113 Marks PL
Fort Worth, TX 76116-7900
Phone (817) 907-0022

Other identifiers 1

IdentifierTypeStateIssuer
1649515198OtherTXINSURANCE PANELS

National Provider Directory

National Provider Directory

Locations

3200 Riverfront Dr
Ste 108
Fort Worth, TX 76107
Phone (817) 877-9505

1706 Enderly Pl
Fort Worth, TX 76104
Phone (817) 688-4750

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1457844953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 MARKS PL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167900",
            "telephone_number": "817-907-0022",
            "fax_number": "817-945-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 ENDERLY PL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044122",
            "telephone_number": "817-907-0022",
            "fax_number": "817-945-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRA THERAPIES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "GUHL",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "817-907-0022",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE PANELS",
            "identifier": "1649515198",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.