George Allan Terry, LCSW-R

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R046798-1 Issued in NY

Practice address

201 E Green St
Ithaca, NY 14850-5635

Phone

(607) 274-6288

Fax

(607) 274-6280

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alcohol & Drug Council

  • Case Management Agency
  • Ithaca, NY
  • NPI 1972823771
  NPD (past)
• Alcohol & Drug Council of Tompkins County, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ithaca, NY
  • NPI 1194744227
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861556987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9857 CASE RD",
            "city": "INTERLAKEN",
            "state": "NY",
            "postal_code": "148479751",
            "telephone_number": "607-387-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E GREEN ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505635",
            "telephone_number": "607-274-6288",
            "fax_number": "607-274-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "GEORGE",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "R046798-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miria Teneza
• Kaori Teramura, LCSW
• Raymond Harris Terepka, M.D.
• Mary Anne Termotto, LMT
• Elizabeth Katherine Terry, LCSW
• Cecilia Tetzlaff, NP
• Michelle Andre Teves, DO
• Manish Thakur, MD
• Sandra Thananart, MD
• Nancy Litchfield Thane, MASTERS DEGREE

• Addiction (Substance Use Disorder) Counselor in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.