Active NPI
Teresa Elizabeth Lawrence, M.DIV.
- Marriage & Family Therapist
- Fayetteville, NC
National Provider Identifier
1881723310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 600
- Practice address
- 114 Highland Ave
Fayetteville, NC 28305-5306 - Phone
- (910) 484-0176
- Fax
- (910) 484-5781
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 600 | NC | Primary |
Addresses
Primary practice location
114 Highland Ave
Fayetteville, NC 28305-5306
Mailing address
114 Highland Ave
Fayetteville, NC 28305-5306
Phone (910) 484-0176
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131CR | Other | NC | BCBS |
| 6105110 | Medicaid | NC | |
| A0123 | Other | NC | MEDCOST |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 600 | NC | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1881723310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 HIGHLAND AVE",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055306",
"telephone_number": "910-484-0176",
"fax_number": "910-484-5781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 HIGHLAND AVE",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055306",
"telephone_number": "910-484-0176",
"fax_number": "910-484-5781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "TERESA",
"middle_name": "ELIZABETH",
"credential": "M.DIV.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "131CR",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6105110",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "A0123",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.