Individual provider Active NPI

Rosalynn Terry, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1891189619
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
012219 Issued in GA
Practice address
5132 Spalding Forest CT
Atlanta, GA 30328-5777
Phone
(307) 690-2674
NPI assigned
Mar 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 012219 GA Primary
Professional Counselor 101YP2500X LPC - 772 WY

Addresses

Primary practice location

5132 Spalding Forest CT
Atlanta, GA 30328-5777

Mailing address

5132 Spalding Forest CT
Atlanta, GA 30328-5777
Phone (307) 690-2674

Other practice location 1

640 E Broadway Ave
Jackson, WY 83001-8642
Phone (307) 733-2046

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

LicenseStateTypeSpecialty
012219GAMDProfessional Counselor
LPC - 772WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health & Recovery Services of Jackson Hole PastSince Jun 1, 2014 Accepting new patients
Mental Health & Recovery Services of Jackson Hole PastSince Nov 7, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1891189619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5132 SPALDING FOREST CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285777",
            "telephone_number": "307-690-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5132 SPALDING FOREST CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285777",
            "telephone_number": "307-690-2674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 E Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "WY",
            "postal_code": "830018642",
            "country_code": "US",
            "telephone_number": "307-733-2046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRY",
        "first_name": "ROSALYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-19",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "012219",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC - 772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.