Organization Active NPI

Casey L. Terzis

  • Addiction (Substance Use Disorder) Counselor
  • Manasquan, NJ
National Provider Identifier
1548634314
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00235500 Issued in NJ
Legal business name
CASEY L. TERZIS
Practice address
208 E Main St
Manasquan, NJ 08736-3044
Phone
(973) 714-9484
NPI assigned
Nov 17, 2015
Last updated
Nov 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Mr. Casey Lane Terzis, L.A.C., L.C.A.D.C.
Title
Counselor
Phone
(973) 714-9484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00235500 NJ Primary

Addresses

Primary practice location

208 E Main St
Manasquan, NJ 08736-3044

Mailing address

99 Manito Rd
Manasquan, NJ 08736-3531
Phone (973) 714-9484

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1548634314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 MANITO RD",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363531",
            "telephone_number": "973-714-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E MAIN ST",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363044",
            "telephone_number": "973-714-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASEY L. TERZIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "TERZIS",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "973-714-9484",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.A.C., L.C.A.D.C."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00235500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.