Individual provider Active NPI

Teri Lyn Nelson, LCPC

  • Professional Counselor
  • Snow Hill, MD
National Provider Identifier
1639349467
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3401 Issued in MD
Practice address
6040 Public Landing Road
Snow Hill, MD 21863-0249
Phone
(410) 632-1100
Fax
(410) 632-5682
NPI assigned
Mar 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC3401 MD Primary

Addresses

Primary practice location

6040 Public Landing Road
Snow Hill, MD 21863-0249

Mailing address

6040 Public Landing Road
P.O. Box 249
Snow Hill, MD 21863-0249
Phone (410) 632-1100

Other names 1

  • Teri Lyn Adams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1639349467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 PUBLIC LANDING ROAD",
            "address_2": "P.O. BOX 249",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "218630249",
            "telephone_number": "410-632-1100",
            "fax_number": "410-632-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 PUBLIC LANDING ROAD",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "218630249",
            "telephone_number": "410-632-1100",
            "fax_number": "410-632-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TERI",
        "middle_name": "LYN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERI",
            "last_name": "ADAMS",
            "middle_name": "LYN",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Snow Hill, MD

Sources for this page

Verify at the official NPI Registry.