Angelica G Tercero

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

86032 Issued in CA

Practice address

18821 E Arrow Hwy
Covina, CA 91722-2027

Phone

(323) 793-0087

NPI assigned

Oct 28, 2021

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Golden Coast Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Covina, CA
  • NPI 1336914696
  NPD Authorized official

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1861156549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18821 E ARROW HWY",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917222027",
            "telephone_number": "323-793-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18821 E ARROW HWY",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917222027",
            "telephone_number": "323-793-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERCERO",
        "first_name": "ANGELICA",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seanglong Te, MD
• Tea Healthcare Services, Inc.
• Temple Performance Physical Therapy
• Toria Templin
• Eduardo B Teodoro Jr., BSN
• Andrea Anita Terrazas
• Araceli Terrazas
• Nicholas Andrew Terrazas
• Terry McElroy & Associates Inc
• Edvino De Jesus Teyuca

• Marriage & Family Therapist in Covina, CA
• Providers in Covina, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.