Active NPI
Scott F Terry, ED.D., LMFT, LCPC
- Marriage & Family Therapist
- Streamwood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166.000736
- Practice address
- 684 S Barrington Rd
Ste 112
Streamwood, IL 60107-1841 - Phone
- (641) 233-8273
- Fax
- (847) 349-1619
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.006449 | IL | |
| Marriage & Family Therapist | 106H00000X | 166.000736 | IL | Primary |
Addresses
Primary practice location
684 S Barrington Rd
Ste 112
Streamwood, IL 60107-1841
Mailing address
684 S Barrington Rd
Ste 112
Streamwood, IL 60107-1841
Phone (641) 233-8273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180.006449 | Other | IL | LCPC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
306 W State St
Williamsburg
Williamsburg, IA 52361-9700
Phone (319) 668-1217
500 N 3Rd St
Suite 209
Fairfield, IA 52556-2483
Phone (888) 870-1775
818 4TH Ave
Grinnell, IA 50112-2041
Phone (641) 236-1644
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.006449 | IL | MD | Mental Health Counselor |
| 166.000736 | IL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodasi LLC | Mental Health | Current | Accepting new patients |
Locations
500 N 3rd St
Ste 209
Fairfield, IA 52556
818 4th Ave
Grinnell, IA 50112
Phone (641) 236-1644
2500 W Higgins Rd
Ste 105
Hoffman Estates, IL 60169
Phone (773) 904-0094
684 S Barrington Rd
Streamwood, IL 60107
Phone (630) 883-0815
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1629133905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "684 S BARRINGTON RD",
"address_2": "STE 112",
"city": "STREAMWOOD",
"state": "IL",
"postal_code": "601071841",
"telephone_number": "641-233-8273",
"fax_number": "847-349-1619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "684 S BARRINGTON RD",
"address_2": "STE 112",
"city": "STREAMWOOD",
"state": "IL",
"postal_code": "601071841",
"telephone_number": "641-233-8273",
"fax_number": "847-349-1619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "SCOTT",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "ED.D., LMFT, LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.006449",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.000736",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCPC",
"identifier": "180.006449",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Streamwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.