Individual provider Active NPI

Katelyn Terry, LPCC

  • Mental Health Counselor
  • Columbus, OH
National Provider Identifier
1629613427
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2404146 Issued in OH
Practice address
1020 Dennison Ave Ste 101
Columbus, OH 43201-3497
Phone
(614) 233-1175
NPI assigned
Nov 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.2404146 OH Primary

Addresses

Primary practice location

1020 Dennison Ave Ste 101
Columbus, OH 43201-3497

Mailing address

1020 Dennison Ave Ste 101
Columbus, OH 43201-3497
Phone (614) 233-1175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909003627 OH Practitioner - Mental Health Counselor 3971043670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1020 Dennison Ave
Suite 101
Columbus, OH 43201-3497
Phone (614) 674-6076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2404146OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Ohio, Inc CurrentSince May 6, 2024 Accepting new patients
Optum Behavioral Care of Ohio, Inc Current Accepting new patients
Optum Behavioral Care of Ohio, Inc. CurrentSince May 6, 2024 Accepting new patients

Locations

1020 Dennison Ave
Ste 101
Columbus, OH 43201
Phone (614) 233-1175

620 E Broad St
Ste 301
Columbus, OH 43215
Phone (614) 674-6076

775 W Broad St
Ste 220
Columbus, OH 43222
Phone (614) 627-1600

4624 Sawmill Rd
Columbus, OH 43220
Phone (614) 457-4490

Organizations & group practices 3

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": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1629613427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 DENNISON AVE STE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432013497",
            "telephone_number": "614-233-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 DENNISON AVE STE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432013497",
            "telephone_number": "614-233-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "KATELYN",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2404146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.