Individual provider Active NPI

Angela Wilson Terreros, PHD, LMHC

  • Professional Counselor
  • Sebring, FL
National Provider Identifier
1720552854
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16596 Issued in FL
Practice address
6723 US Highway 27 S
Sebring, FL 33876-5737
Phone
(863) 451-8448
NPI assigned
Jan 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 16596 FL Primary

Addresses

Primary practice location

6723 US Highway 27 S
Sebring, FL 33876-5737

Mailing address

PO Box 1706
Sebring, FL 33871-1706
Phone (863) 451-8448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
16596FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hope Counseling LLC CurrentSince Jun 7, 2020 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Locations

1570 Lakeview Dr
Ste 2B
Sebring, FL 33870
Phone (863) 546-1913

Organizations & group practices 2

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": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1720552854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1706",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338711706",
            "telephone_number": "863-451-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6723 US HIGHWAY 27 S",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338765737",
            "telephone_number": "863-451-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERREROS",
        "first_name": "ANGELA",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "16596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.