Active NPI
Cheryl Lynne Terrell, PHD, LPC
- Professional Counselor
- Poplar Bluff, MO
National Provider Identifier
1548412349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CS 000526
- Practice address
- 1425 Camp Rd
Poplar Bluff, MO 63901-3064 - Phone
- (573) 429-0817
- NPI assigned
- Oct 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 50475 | MO | |
| Professional Counselor | 101YP2500X | CS 000526 | MO | Primary |
Addresses
Primary practice location
1425 Camp Rd
Poplar Bluff, MO 63901-3064
Mailing address
745 Craig Rd
Suite 304
Saint Louis, MO 63141-7160
Phone (314) 983-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50475 | MO | MD | Professional Counselor |
| CS 000526 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223856000000",
"number": "1548412349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 CRAIG RD",
"address_2": "SUITE 304",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417160",
"telephone_number": "314-983-9300",
"fax_number": "314-983-9308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 CAMP RD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639013064",
"telephone_number": "573-429-0817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRELL",
"first_name": "CHERYL",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "PHD, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-13",
"last_updated": "2008-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "50475",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "CS 000526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.