Ilona Terral, LPC-MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC0000003540 Issued in TN

Practice address

3300 Williams Enterprise Dr
Suite 1
Cookeville, TN 38506-4280

Phone

(931) 528-9222

NPI assigned

Aug 3, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ilona Gunchenko Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Innovative Family Care, PLLC

  • Family Medicine Physician
  • Cookeville, TN
  • NPI 1720345408
  NPD (past)

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1881147171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WILLIAMS ENTERPRISE DR",
            "address_2": "SUITE 1",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385064280",
            "telephone_number": "931-528-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WILLIAMS ENTERPRISE DR",
            "address_2": "SUITE 1",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385064280",
            "telephone_number": "931-528-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRAL",
        "first_name": "ILONA",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LPC0000003540",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000003540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILONA",
            "last_name": "GUNCHENKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tennessee Primary Care, LLC
• Tennessee Radiology Associates, PLLC
• Tennessee Sports Medicine, PC
• Tennessee Tech University Center for Addiction Prevention and Support
• Tennessee Therapy & Balance Center, LLC
• The Cookeville Surgery Center
• Therapeutic Interventions, Inc.
• Therapy Solutions, PC
• Lydia Ann Thoman, BA
• Lori Ann Thomas-Steward, D.O.

• Professional Counselor in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.