Terra Marie Dejeu

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA178577 Issued in OH

Practice address

150 Cross Street
Akron, OH 44311-1026

Phone

(330) 996-9141

Fax

(330) 376-6726

NPI assigned

Jun 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other names 1

• Terra Bennett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1649847625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CROSS STREET",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111026",
            "telephone_number": "330-996-9141",
            "fax_number": "330-376-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CROSS STREET",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111026",
            "telephone_number": "330-996-9141",
            "fax_number": "330-376-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJEU",
        "first_name": "TERRA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2024-05-24",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS002426",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA178577",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "174691",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRA",
            "last_name": "BENNETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shannon Dawn Degraffinreed
• Alana Deibel, OCPS
• Kristen Dejacimo, PHARMD
• Tashaa Nicole Dejesus
• Samuel Dejeu, PRS
• Dennis P Dejulius, MD
• Tala Maria Alcantara Dela Paz, M.D.
• Michael Delahanty, DO
• Christina Delahoz, MD
• Meaghan Paige Delahunty, MD

• Addiction (Substance Use Disorder) Counselor in Akron, OH
• Providers in Akron, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.