Terry V Timmons, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2215 Issued in MS

Practice address

1018 N Gloster St Ste F
Tupelo, MS 38804-1234

Phone

(662) 540-5558

NPI assigned

Aug 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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 and National Provider Directory roles.

• Hope Unbridled Counseing LLC

  • Mental Health Counselor
  • Tupelo, MS
  • NPI 1588223127
  NPD (past) Authorized official

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1497271837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 OAKCREST DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388048003",
            "telephone_number": "662-401-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 N GLOSTER ST STE F",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388041234",
            "telephone_number": "662-540-5558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2639 Oakcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388048003",
            "country_code": "US",
            "telephone_number": "662-401-4908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMMONS",
        "first_name": "TERRY",
        "middle_name": "V",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1497271837",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hopeunbridledcounseling@outlook.com",
            "affiliation": "N",
            "address_1": "2639 Oakcrest Dr",
            "city": "Tupelo",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388048003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elesha P Tidwell, FNP
• Tanya Tigner
• Eric Wade Tillotson
• Ethan Tillotson, M.D.
• Madison Nash Timmons
• Tina Dye Counseling, PLLC
• James Paul Tinsley
• Sylvia D Tisdale-McIntosh
• Michelle Tobia, M.S. CCC-SLP
• Gloria Tolbert

• Professional Counselor in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.