Tera Lee Middlebrook, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

60473719 Issued in WA

Practice address

1615 Delaware St
Longview, WA 98632-2367

Phone

(360) 414-2385

Fax

(360) 414-2386

NPI assigned

Aug 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Awakening Spirit Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chehalis, WA
  • NPI 1598471500
  NPD Authorized official
• Pearson Medical Clinic PLLC

  • Internal Medicine Physician
  • Woodland, WA
  • NPI 1619934007
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1740471911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ELLOWAY OAKS DR",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985329270",
            "telephone_number": "360-918-6959",
            "fax_number": "360-623-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 DELAWARE ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322367",
            "telephone_number": "360-414-2385",
            "fax_number": "360-414-2386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1718 E Kessler Blvd",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986321842",
            "country_code": "US",
            "telephone_number": "360-747-5800",
            "fax_number": "360-575-3846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "527 2nd St",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "WA",
            "postal_code": "986748486",
            "country_code": "US",
            "telephone_number": "360-225-8911",
            "fax_number": "360-225-8527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "922 Fir St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322525",
            "country_code": "US",
            "telephone_number": "603-539-4223",
            "fax_number": "603-539-4403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Elloway Oaks DR",
            "address_purpose": "LOCATION",
            "city": "Chehalis",
            "state": "WA",
            "postal_code": "985329853",
            "country_code": "US",
            "telephone_number": "360-918-6959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDDLEBROOK",
        "first_name": "TERA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60473719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Michael Meyer, SUDPT
• Norine A Meyer, LICSW
• David Jay Meyers, DDS
• Stephanie Michelle Michael, MS, RDN
• Caley Michaud, SUDPT
• Jacob Miller
• Mary Elizabeth Miller
• Monica Miller, RD, LD, CDE
• Roxanne Lee Miller
• Crystal Millien

• Mental Health Counselor in Longview, WA
• Providers in Longview, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.