Sandy Terwillegar, MA, LLP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6301009278 Issued in MI

Practice address

4845 Snyder Ave
Fremont, MI 49412-9502

Phone

(231) 924-6920

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regional Psychology and Wellness, LLC

  • Counseling Psychologist
  • Fremont, MI
  • NPI 1154894376
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1629128202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 SNYDER AVE",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494129502",
            "telephone_number": "231-924-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 SNYDER AVE",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494129502",
            "telephone_number": "231-924-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERWILLEGAR",
        "first_name": "SANDY",
        "name_prefix": "Mrs.",
        "credential": "MA, LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6301009278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "P108976660",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathy L Stout, PA
• Adam Evan Strantz, PA-C
• Shana Marie Strantz, PA
• Cymber Bre Stroven, NP-C
• Judy Ann Taber-Tanis, FNP, BC
• The Country Squire Discount Pharmacy, Inc
• Mary J Thompson-Rottier, LPC
• Laura Lee Thompson
• Emily Kathryn Thrower, C.N.M.
• Truenorth Community Services

• Mental Health Counselor in Fremont, MI
• Providers in Fremont, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.