Active NPI
Terra Norman
- Clinical Social Worker
- Rockport, IN
National Provider Identifier
1528634425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- TERRA NORMAN
- Practice address
- 928 Sycamore St
Rockport, IN 47635-9283 - Phone
- (270) 549-0975
- NPI assigned
- Jun 1, 2021
- 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
- Miriah Garrard
- Title
- Billing and Credentialing Specialis
- Phone
- (270) 929-7857
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
928 Sycamore St
Rockport, IN 47635-9283
Mailing address
928 Sycamore St
Rockport, IN 47635-9283
Phone (270) 549-0975
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | terranorman@kairoscounselingllc.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622764800000",
"number": "1528634425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 SYCAMORE ST",
"city": "ROCKPORT",
"state": "IN",
"postal_code": "476359283",
"telephone_number": "270-549-0975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 SYCAMORE ST",
"city": "ROCKPORT",
"state": "IN",
"postal_code": "476359283",
"telephone_number": "270-549-0975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERRA NORMAN",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-01",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A",
"authorized_official_last_name": "GARRARD",
"authorized_official_first_name": "MIRIAH",
"authorized_official_title_or_position": "BILLING AND CREDENTIALING SPECIALIS",
"authorized_official_telephone_number": "270-929-7857"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "terranorman@kairoscounselingllc.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "928 Sycamore St",
"city": "Rockport",
"state": "IN",
"country_code": "US",
"postal_code": "476359283",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockport, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.