Individual provider Active NPI

Jamie Rae Terlaje

  • Mental Health Counselor
  • Waynesville, MO
National Provider Identifier
1780444190
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
704 Route 66 W Ste 101
Waynesville, MO 65583-8322
Phone
(573) 433-4846
NPI assigned
Mar 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

704 Route 66 W Ste 101
Waynesville, MO 65583-8322

Mailing address

704 Route 66 W Ste 101
Waynesville, MO 65583-8322
Phone (573) 433-4846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260424001736 MO Practitioner - Mental Health Counselor 3971070160 Reassigns benefits to 1 organization
I20260602001990 TX Practitioner - Mental Health Counselor 3971070160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 Depuy St
Fort Leonard Wood, MO 65473-1095

2601 Little Elm Pkwy
Suite 2503
Little Elm, TX 75068-6706

704 Historic 66
Suite 101
Waynesville, MO 65583-8322

704 Historic 66 W
Suite 101
Waynesville, MO 65583-8322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Connections, LLC CurrentSince Mar 24, 2024 Accepting new patients

Locations

704 Route 66 W
Ste 101
Waynesville, MO 65583
Phone (573) 433-4846

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": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1780444190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 ROUTE 66 W STE 101",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655838322",
            "telephone_number": "573-433-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 ROUTE 66 W STE 101",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655838322",
            "telephone_number": "573-433-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERLAJE",
        "first_name": "JAMIE",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, MO

Sources for this page

Verify at the official NPI Registry.