Individual provider Active NPI

Terry Hites, MA, LPC, LICDC

  • Professional Counselor
  • Holland, OH
National Provider Identifier
1851827265
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
161017 Issued in OH
Practice address
7015 Spring Meadows West
Suite 102
Holland, OH 43528
Phone
(419) 491-1180
Fax
(419) 491-1181
NPI assigned
May 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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 161017 OH Primary

Addresses

Primary practice location

7015 Spring Meadows West
Suite 102
Holland, OH 43528

Mailing address

7015 Spring Meadows West
Suite 102
Holland, OH 43528
Phone (419) 491-1180

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
161017OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1851827265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 SPRING MEADOWS WEST",
            "address_2": "SUITE 102",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "43528",
            "telephone_number": "419-491-1180",
            "fax_number": "419-491-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 SPRING MEADOWS WEST",
            "address_2": "SUITE 102",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "43528",
            "telephone_number": "419-491-1180",
            "fax_number": "419-491-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITES",
        "first_name": "TERRY",
        "credential": "MA, LPC, LICDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "161017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.