Terecor Foundation Corporation

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

190466AOD Issued in CA

Legal business name

TERECOR FOUNDATION CORPORATION

Doing business as

Terecor Foundation's Substance Abuse Program

Practice address

544 W Rosecrans Ave
Compton, CA 90222-3944

Phone

(310) 639-0107

Fax

(310) 639-0119

NPI assigned

Mar 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. J.D. (NMN) Reed, Jr., D.V. COUNSELORNPI 1386862589

Title

Executive Director

Phone

(310) 639-0107

Specialties & licenses 1

Addresses

Other names 1

• Terecor Foundation's Substance Abuse Program Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• JD Reed Jr., COUNSELOR

  • Addiction (Substance Use Disorder) Counselor
  • Compton, CA
  • NPI 1386862589
  NPD (past) Authorized official

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700900594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 W ROSECRANS AVE",
            "address_2": "P.O. BOX 5245",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902223944",
            "telephone_number": "310-639-0107",
            "fax_number": "310-639-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 W ROSECRANS AVE",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902223944",
            "telephone_number": "310-639-0107",
            "fax_number": "310-639-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERECOR FOUNDATION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REED,",
        "authorized_official_first_name": "J.D.",
        "authorized_official_middle_name": "(NMN)",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-639-0107",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.V. COUNSELOR"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "190466AOD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terecor Foundation's Substance Abuse Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Compton, CA
• Providers in Compton, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.