Individual provider Active NPI

Terri E Eastepp, LPC

  • Mental Health Counselor
  • Nacogdoches, TX
National Provider Identifier
1659724698
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
73970 Issued in TX
Practice address
691 County Road 337
Nacogdoches, TX 75961-0499
Phone
(936) 414-7811
NPI assigned
Jul 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 73970 TX
Mental Health Counselor 101YM0800X 73970 TX Primary

Addresses

Primary practice location

691 County Road 337
Nacogdoches, TX 75961-0499

Mailing address

PO Box 398
Ore City, TX 75683-0398
Phone (936) 414-7811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231117002885 TX Practitioner - Mental Health Counselor 7719335421 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
73790TXMDCounselor
73970TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brittain & Associates Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

213 US Highway 259 N
Ore City, TX 75683
Phone (903) 968-4641

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": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1659724698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "ORE CITY",
            "state": "TX",
            "postal_code": "756830398",
            "telephone_number": "936-414-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 COUNTY ROAD 337",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759610499",
            "telephone_number": "936-414-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTEPP",
        "first_name": "TERRI",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "73970",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "73970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.