Organization Active NPI

Terra Norman

  • Clinical Social Worker
  • Rockport, IN
National Provider Identifier
1528634425
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jun 4, 2021

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Direct Messaging Address terranorman@kairoscounselingllc.com Direct

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.