Individual provider Active NPI

Terri K Bukowski, LPC

  • Professional Counselor
  • Crawford, TX
National Provider Identifier
1790442804
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71280 Issued in TX
Practice address
314 Twin Bends Rd
Crawford, TX 76638-2884
Phone
(254) 855-3547
NPI assigned
Nov 23, 2021
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 71280 TX
Professional Counselor 101YP2500X 71280 TX Primary

Addresses

Primary practice location

314 Twin Bends Rd
Crawford, TX 76638-2884

Mailing address

314 Twin Bends Rd
Crawford, TX 76638-2884
Phone (254) 855-3547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260310004459 TX Practitioner - Mental Health Counselor 6305329145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Riverview Blvd
Methuen, MA 01844-6026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71280TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas a&M University System Health Science Center CurrentSince Mar 1, 2026 Accepting new patients
Texas a&M University System Health Science Center CurrentSince Mar 1, 2026 Accepting new patients

Locations

2900 E 29th St
Ste 200
Bryan, TX 77802
Phone (979) 436-0483

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, 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": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1790442804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 TWIN BENDS RD",
            "city": "CRAWFORD",
            "state": "TX",
            "postal_code": "766382884",
            "telephone_number": "254-855-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 TWIN BENDS RD",
            "city": "CRAWFORD",
            "state": "TX",
            "postal_code": "766382884",
            "telephone_number": "254-855-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKOWSKI",
        "first_name": "TERRI",
        "middle_name": "K",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "71280",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawford, TX

Sources for this page

Verify at the official NPI Registry.