Terrance Lavell Gunn, PROFESSIONAL COUNSEL

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4284226 Issued in WI

Practice address

151 S 84TH St
Milwaukee, WI 53214-1456

Phone

(414) 476-3710

NPI assigned

Mar 4, 2019

Last updated

Mar 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Terrance Lavell Gunn Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1952869570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 LAWN ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534042921",
            "telephone_number": "262-664-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S 84TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532141456",
            "telephone_number": "414-476-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "TERRANCE",
        "middle_name": "LAVELL",
        "name_prefix": "Mr.",
        "credential": "PROFESSIONAL COUNSEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4284226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRANCE",
            "last_name": "GUNN",
            "middle_name": "LAVELL",
            "credential": "PROFESSIONAL COUNSEL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Judy E Gundlach, PT
• Timothy Erik Gundlach, M.D.
• William Gundrum, PHARM.D.
• Tharajan Gunendran, MD
• Hamdi Cem Gungor, DDS
• Veronica Gunn, MD, MPH
• Satya Preetham Gunta, M.D.
• Rhiannon Gunther, CPNP-PC
• Sri Vaishnavi Guntupalli
• Champalal Gupta, M.D.

• Mental Health Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.