Individual provider Active NPI

Terri Faison, LCMHC-A, LCAS-A

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1700478229
Registry record updated Aug 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A16385 Issued in NC
Practice address
3622 Lyckan Pkwy Ste 4005
Durham, NC 27707-2566
Phone
(919) 999-7457
NPI assigned
Feb 5, 2021
Last updated
Aug 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 27019 NC
Mental Health Counselor 101YM0800X A16385 NC Primary

Addresses

Primary practice location

3622 Lyckan Pkwy Ste 4005
Durham, NC 27707-2566

Mailing address

510 Trail One Apt 205F
Burlington, NC 27215-6595
Phone (910) 290-2721

Other practice location 1

236 N Mebane St Ste 125
Burlington, NC 27217-3957
Phone (919) 214-0862

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: Yes
  • 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

State licenses

LicenseStateTypeSpecialty
A16385NCMDMental Health Counselor
27019NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrews Counseling and Consulting, PLLC Mental Health CurrentSince Dec 21, 2021 Accepting new patients
Hope Counseling & Consulting Services, Inc. PastSince Feb 1, 2021 Accepting new patients
Pope Behavioral Health and Wellness Mental Health PastSince Aug 8, 2021 Accepting new patients

Locations

236 N Mebane St
Ste 125
Burlington, NC 27217
Phone (919) 214-0862

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627776000000",
    "number": "1700478229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 TRAIL ONE APT 205F",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156595",
            "telephone_number": "910-290-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY STE 4005",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072566",
            "telephone_number": "919-999-7457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 N Mebane St Ste 125",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272173957",
            "country_code": "US",
            "telephone_number": "919-214-0862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAISON",
        "first_name": "TERRI",
        "credential": "LCMHC-A, LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-08-01",
        "certification_date": "2021-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "27019",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.