Individual provider Active NPI

Josette Nicole Terry, LMFT

  • Marriage & Family Therapist
  • Cortlandt Manor, NY
National Provider Identifier
1467026997
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001745-01 Issued in NY
Practice address
1983 Crompond Rd Ste 203
Cortlandt Manor, NY 10567-4121
Phone
(914) 380-8636
Fax
(914) 380-8636
NPI assigned
May 19, 2021
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001745-01 NY Primary

Addresses

Primary practice location

1983 Crompond Rd Ste 203
Cortlandt Manor, NY 10567-4121

Mailing address

1983 Crompond Rd Ste 203
Cortlandt Manor, NY 10567-4121
Phone (914) 380-8636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240105002011 NY Practitioner - Marriage and Family Therapist 2466803275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Treehouse Wisdom and Wellness IncGroup PAC ID 7113393943, 3 clinicians

Practice addresses (Care Compare)

1983 Crompond Rd
Suite 203B
Cortlandt Manor, NY 10567-4121
Phone (914) 380-8636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001745-01NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Treehouse Wisdom and Wellness, Inc. Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

1983 Crompond Rd
Ste 203B
Cortlandt Manor, NY 10567
Phone (914) 380-8636

1983 Crompond Rd
Ste 203
Cortlandt Mnr, NY 10567
Phone (914) 380-8636

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1467026997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 CROMPOND RD STE 203",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674121",
            "telephone_number": "914-380-8636",
            "fax_number": "914-380-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 CROMPOND RD STE 203",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674121",
            "telephone_number": "914-380-8636",
            "fax_number": "914-380-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "JOSETTE",
        "middle_name": "NICOLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001745-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

Verify at the official NPI Registry.