Individual provider Active NPI

Allan E Terry, CRS

  • Peer Specialist
  • Pittsburgh, PA
National Provider Identifier
1992474910
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
13659 Issued in PA
Practice address
1789 S Braddock Ave Ste 550
Pittsburgh, PA 15218-1880
Phone
(412) 525-0339
Fax
(412) 346-4319
NPI assigned
Sep 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 13659 PA Primary

Addresses

Primary practice location

1789 S Braddock Ave Ste 550
Pittsburgh, PA 15218-1880

Mailing address

1071 Silverdale St
Pittsburgh, PA 15221-1356
Phone (412) 525-0339

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@sorecincusa.com Direct

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
13659PAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sorec Inc. Peer Specialist CurrentSince Nov 12, 2023 Accepting new patients
Lived Experience Peer Support Services, Inc Peer Specialist Current Accepting new patients
Peer Transport LLC Non-Emergency Medical Transport (Van) CurrentSince Sep 23, 2021 Accepting new patients

Locations

1789 S Braddock Ave
Ste 550
Pittsburgh, PA 15218
Phone (412) 723-1749

Organizations & group practices 3

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1992474910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 SILVERDALE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152211356",
            "telephone_number": "412-525-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 S BRADDOCK AVE STE 550",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181880",
            "telephone_number": "412-525-0339",
            "fax_number": "412-346-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "ALLAN",
        "middle_name": "E",
        "credential": "CRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-13",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "PA",
            "license": "13659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@sorecincusa.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1071 Silverdale St",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152211356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.