Kimberly Terry

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

73396 Issued in TX

Practice address

433 Kitty Hawk Rd
Ste. 219
Universal City, TX 78148-3357

Phone

(210) 566-1280

Fax

(210) 579-8533

NPI assigned

Mar 29, 2017

Sex

Female

Sole proprietor

Yes

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.

• Alba Wellness Case Management LLC

  • Case Management Agency
  • Universal City, TX
  • NPI 1043877343
  NPD (past)
• Alba Wellness Incorporated

  • Professional Counselor
  • Universal City, TX
  • NPI 1891033577
  NPD (past)

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1922530070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7314 FOREST STRM",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782334825",
            "telephone_number": "210-248-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 KITTY HAWK RD",
            "address_2": "STE. 219",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483357",
            "telephone_number": "210-566-1280",
            "fax_number": "210-579-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "73396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Madyson Taylor
• Catherine Terrell-Rodriguez, FNP
• Tetachild Behavior Consultants, LLC
• Texas Dental Orthodontics Practice, PLLC
• Texas Dental Specialist Practice, PLLC
• Michelle Layne Theisen
• Cassandra E Thelen

• Professional Counselor in Universal City, TX
• Providers in Universal City, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.