Terry Lynn Mitchell, MBA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

M0503032055 Issued in CA

Practice address

1301 Pierce St
San Francisco, CA 94115-4005

Phone

(415) 563-8200

Fax

(415) 563-5985

NPI assigned

Jan 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548311541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 N SHELTER BAY",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945472609",
            "telephone_number": "510-593-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PIERCE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941154005",
            "telephone_number": "415-563-8200",
            "fax_number": "415-563-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TERRY",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "M0503032055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Ryan Mitchell, MD
• Shelley Miller Mitchell, CRNA
• Suzanne Maria Fernandes Mitchell, ARNP
• Taliah Mitchell
• Teri Mitchell, DDS
• Theresa Mitchell
• Wendy C Mitchell
• Yvette Renee Mitchell
• Beth Avonne Mitchner, PSYD
• Robert J. Mithun, MD

• Addiction (Substance Use Disorder) Counselor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.