Organization Active NPI

Gwendolyn Nelson-Terry, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1669973152
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
84535 Issued in CA
Legal business name
GWENDOLYN NELSON-TERRY, LMFT
Practice address
4080 Centre St Ste 202
San Diego, CA 92103-2657
Phone
(619) 383-1900
NPI assigned
Feb 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Authorized official

Name
Gwendolyn Erin Nelson-Terry, MANPI 1376826594
Title
Marriage and Family Therapist
Phone
(415) 678-0186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 84535 CA Primary

Addresses

Primary practice location

4080 Centre St Ste 202
San Diego, CA 92103-2657

Mailing address

1760 S El Camino Real Unit D206
Encinitas, CA 92024-4975
Phone (415) 678-0186

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1669973152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 S EL CAMINO REAL UNIT D206",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244975",
            "telephone_number": "415-678-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 CENTRE ST STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032657",
            "telephone_number": "619-383-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWENDOLYN NELSON-TERRY, LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "NELSON-TERRY",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "415-678-0186",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "84535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.