Individual provider Active NPI

Terry Farmer, REV.

  • Pastoral Counselor
  • Cleveland, TN
National Provider Identifier
1801506290
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Practice address
375 Old Federal Rd SE
Cleveland, TN 37323-9025
Phone
(423) 458-6660
Fax
(423) 339-2095
NPI assigned
Nov 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X TN Primary

Addresses

Primary practice location

375 Old Federal Rd SE
Cleveland, TN 37323-9025

Mailing address

3575 Keith Street Norhtwest
Cleveland, TN 37312
Phone (423) 458-6660

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Terry.Farmer@ctcprograms.com Bradley County Comprehensive Treatment Center

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

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1801506290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 KEITH STREET NORHTWEST",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37312",
            "telephone_number": "423-458-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 OLD FEDERAL RD SE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373239025",
            "telephone_number": "423-458-6660",
            "fax_number": "423-339-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "TERRY",
        "name_prefix": "Mr.",
        "credential": "REV.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Terry.Farmer@ctcprograms.com",
            "affiliation": "Y",
            "affiliationName": "Bradley County Comprehensive Treatment Center",
            "address_1": "3575 Keith Street Norhtwest",
            "city": "Cleveland",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.