Active NPI
Terros, Inc.
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
National Provider Identifier
1972135390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- TERROS, INC.
- Practice address
- 1111 S Stapley Dr
Mesa, AZ 85204-5059 - Phone
- (602) 685-6000
- Fax
- (480) 834-5703
- NPI assigned
- Feb 5, 2020
- Organization subpart
- Yes
- Parent organization
- TERROS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Karen Hoffman Tepper, PH.D
- Title
- President & Ceo
- Phone
- (602) 685-6000
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
1111 S Stapley Dr
Mesa, AZ 85204-5059
Mailing address
3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Phone (602) 685-6000
Other names 1
- Terros Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200408000274 | AZ | Part A Provider - Federally Qualified Health Center (FQHC) | 8224077045 | Practice locations: Mesa, AZ |
Federally qualified health center certification: CCN 031000
- Legal name
- TERROS, INC.
- Doing business as
- TERROS HEALTH
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Apr 2, 2020
- Last certification
- Apr 2, 2020
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Jan 1, 1990 in AZ
- Enrollment address
- 1111 S Stapley Dr
Mesa, AZ 85204-5059
Other NPIs with the same Medicare PAC ID 14
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Terrosinc
- Part of
- Terrosinc
Other organizations with this tax ID 34
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glendale, AZ
- NPI 1053104612
-
- Federally Qualified Health Center (FQHC)
- Glendale, AZ
- NPI 1215720750
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1265959951
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1326555376
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mesa, AZ
- NPI 1356202360
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kingman, AZ
- NPI 1528730546
-
- Federally Qualified Health Center (FQHC)
- Tempe, AZ
- NPI 1598531378
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1609555408
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kingman, AZ
- NPI 1891580288
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1245615780
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1518734169
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1932975059
Ownership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Nye | Corporate Officer | May 6, 2022 | |
| William Bidwill | Corporate Director | Oct 31, 2023 | |
| Vanna R Campion | Corporate Officer | Nov 12, 2024 | |
| Monica Trejo | Corporate Director | May 26, 2021 | |
| Christina Ngo | Corporate Director | Oct 1, 2024 | |
| Elizabeth Stoltz | Corporate Director | May 24, 2023 | |
| Michael Duran | Corporate Director | Oct 1, 2018 | |
| Renee Osipov | Corporate Director | Oct 1, 2024 | |
| Kenneth Poole | Corporate Director | Jan 25, 2020 | |
| Michael Kurtenbach | Corporate Director | Aug 1, 2015 | |
| Tyler Straker | Corporate Director | Feb 1, 2025 | |
| Michael Marion | Corporate Officer | Apr 26, 2021 | |
| Calvin Cole | Corporate Director | Oct 31, 2023 | |
| Karen Hoffman Tepper | Corporate Officer | May 6, 2022 | |
| W-2 Managing Employee | May 6, 2022 | ||
| Buffy T Wooten | Corporate Director | Jan 27, 2021 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Rochester, MN
- NPI 1649434408
Corporate Director
All facility ownership & control disclosures 13
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Terros, Inc. | Federally qualified health center | Operational/Managerial Control (100%) | May 26, 1969 |
| Terros Health | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Mar 11, 2016 |
| Terros, Inc - FQHC McDowell Rd | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Aug 24, 2017 |
| Terroshealth | Federally qualified health center | Operational/Managerial Control (100%) | May 6, 2022 |
| Terros, Inc. | Federally qualified health center | Operational/Managerial Control (100%) | May 6, 2022 |
| Terros Health | Federally qualified health center | Operational/Managerial Control (100%) | Jan 1, 2024 |
| Terros, Inc. | Federally qualified health center | Operational/Managerial Control (100%) | May 6, 2022 |
| Terros, Inc. | Federally qualified health center | Operational/Managerial Control (100%) | Oct 1, 2024 |
| Terros, Inc. | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2024 |
| Terros, Inc. | Federally qualified health center | Operational/Managerial Control (100%) | Oct 1, 2024 |
| Terros Health | Federally qualified health center | Operational/Managerial Control (100%) | Oct 1, 2024 |
| Terros Health | Federally qualified health center | Operational/Managerial Control | Oct 1, 2024 |
| Terros, Inc. | Federally qualified health center | Operational/Managerial Control (100%) | Mar 21, 2025 |
Owned or controlled facilities with NPI records 13
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- Glendale, AZ
- NPI 1215720750
Operational/Managerial Control
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1265959951
5% Or Greater Direct Ownership Interest
-
- Federally Qualified Health Center (FQHC)
- Tempe, AZ
- NPI 1598531378
Operational/Managerial Control
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1518734169
Operational/Managerial Control
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1932975059
Operational/Managerial Control
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1053142018
Operational/Managerial Control
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1134950066
Operational/Managerial Control
-
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
- NPI 1194556845
5% Or Greater Direct Ownership Interest
-
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
- NPI 1194582882
Operational/Managerial Control
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1235590712
5% Or Greater Direct Ownership Interest
-
- Federally Qualified Health Center (FQHC)
- Glendale, AZ
- NPI 1699173245
Operational/Managerial Control
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1831923093
Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 26
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Phoenix, AZ
- NPI 1710182225
-
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
- NPI 1306453220
-
- Physician Assistant
- Mesa, AZ
- NPI 1841641859
-
- Psychiatric/Mental Health Nurse Practitioner
- Tempe, AZ
- NPI 1114633815
-
- Professional Counselor
- Glendale, AZ
- NPI 1952144669
-
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
- NPI 1811515901
-
- Professional Counselor
- Tempe, AZ
- NPI 1730459710
-
- Family Nurse Practitioner
- Tucson, AZ
- NPI 1831406222
-
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
- NPI 1346905650
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1316394646
-
- Family Nurse Practitioner
- Glendale, AZ
- NPI 1013373976
-
- Psychiatric/Mental Health Nurse Practitioner
- Glendale, AZ
- NPI 1962840793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654214400000",
"number": "1972135390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 N CENTRAL AVE STE 400",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122929",
"telephone_number": "602-685-6000",
"fax_number": "602-685-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S STAPLEY DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852045059",
"telephone_number": "602-685-6000",
"fax_number": "480-834-5703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERROS, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TERROS, INC.",
"enumeration_date": "2020-02-05",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A",
"authorized_official_last_name": "TEPPER",
"authorized_official_first_name": "KAREN HOFFMAN",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "602-685-6000",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Terros Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.