Active NPI
Terra Therapies, PLLC
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1457844953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 66955
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Courtney J Guhl, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649515198 | Other | TX | INSURANCE PANELS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Fort Worth, TX
- NPI 1649515198
-
- Professional Counselor
- Fort Worth, TX
- NPI 1760234223
-
- Professional Counselor
- Fort Worth, TX
- NPI 1811424229
-
- Clinical Social Worker
- Fort Worth, TX
- NPI 1942805700
-
- Clinical Social Worker
- Fort Worth, TX
- NPI 1053993204
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.