Individual provider Active NPI

Terri Talley, LPC

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1861953812
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7364 Issued in SC
Practice address
540 Saint Andrews Rd Ste 215
Columbia, SC 29210-4500
Phone
(803) 626-0712
NPI assigned
Mar 30, 2019
Last updated
Dec 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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 7364 SC Primary

Addresses

Primary practice location

540 Saint Andrews Rd Ste 215
Columbia, SC 29210-4500

Mailing address

540 Saint Andrews Rd Ste 215
Columbia, SC 29210-4500
Phone (803) 626-0712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 14, 2025 through Feb 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9162SCMDGeneral Practice Dentistry
7364SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Still Point Counseling & Coaching Mental Health Current Accepting new patients
Integrative Mental Health Solutions, LLC Mental Health CurrentSince Dec 29, 2019 Accepting new patients

Locations

540 Saint Andrews Rd
Ste 215
Columbia, SC 29210
Phone (803) 272-9593

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": "1553904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1861953812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 SAINT ANDREWS RD STE 215",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104500",
            "telephone_number": "803-626-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 SAINT ANDREWS RD STE 215",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104500",
            "telephone_number": "803-626-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "TERRI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-30",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.