Active NPI
Terell Tepper
- Professional Counselor
- Lithia Springs, GA
National Provider Identifier
1952848731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC008932
- Practice address
- 690 Thornton Way
Lithia Springs, GA 30122-2613 - Phone
- (678) 486-1090
- Fax
- (770) 792-0719
- NPI assigned
- Jan 31, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC008932 | GA | Primary |
Addresses
Primary practice location
690 Thornton Way
Lithia Springs, GA 30122-2613
Mailing address
690 Thornton Way
Lithia Springs, GA 30122-2613
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 |
|---|---|---|---|
| LPC008932 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1952848731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 THORNTON WAY",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301222613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 THORNTON WAY",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301222613",
"telephone_number": "678-486-1090",
"fax_number": "770-792-0719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEPPER",
"first_name": "TERELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-31",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC008932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lithia Springs, GA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.