Individual provider Active NPI

Terry A Rifkin, LCSW

  • Mental Health Counselor
  • Laguna Niguel, CA
National Provider Identifier
1992717730
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCS8740 Issued in CA
Practice address
30011 Ivy Glenn Dr
#206
Laguna Niguel, CA 92677-5014
Phone
(949) 495-5007
Fax
(949) 249-1993
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCS8740 CA Primary

Addresses

Primary practice location

30011 Ivy Glenn Dr
#206
Laguna Niguel, CA 92677-5014

Mailing address

30011 Ivy Glenn Dr
#206
Laguna Niguel, CA 92677-5014
Phone (949) 495-5007

Other names 1

  • Ms. Terry Rifkin Hawn Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120724000231 CA Practitioner - Clinical Social Worker 2961668777 Practice locations: Laguna Niguel, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30011 Ivy Glenn Dr
Suite 206
Laguna Niguel, CA 92677-5017
Phone (949) 495-5007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8740CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
KR Psychological Services, Inc PastSince Jan 17, 2023 Accepting new patients

Organizations & group practices 1

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1992717730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30011 IVY GLENN DR",
            "address_2": "#206",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775014",
            "telephone_number": "949-495-5007",
            "fax_number": "949-249-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30011 IVY GLENN DR",
            "address_2": "#206",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775014",
            "telephone_number": "949-495-5007",
            "fax_number": "949-249-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIFKIN",
        "first_name": "TERRY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS8740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRY",
            "last_name": "HAWN",
            "middle_name": "RIFKIN",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.