TEDDY TERHUNE


Address: 5304a Woodrow Ave, Austin, TX 78756-2107
Phone: 5125868118

TEDDY TERHUNE (NPI# 1255712139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255712139
Entity Type Individual
Full Name TEDDY TERHUNE
Other Name TEDDY TERHUNE
Practice Address 5304a Woodrow Ave
Austin
TX 78756-2107
Practice Telephone 5125868118
Practice Fax Number 5126726166
Mailing Telephone 5125868118
Mailing Fax Number 5126726166
Enumeration Date 2015-06-16
Last Update Date 2018-09-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
69615 TX Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
69615 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
BLUECROSS BLUESHIELD OF TEXAS 0004FR 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1015 Beecave Woods Dr, Suite 300f, Austin, TX 787466762 5125868118 5126726166

Office Location

Street Address 5304A WOODROW AVE
City AUSTIN
State TX
Zip Code 78756-2107

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053911347 Sjel Diagnostics of Austin, Pllc Electrodiagnostic Medicine 3800 North Lamar Blvd Suite 200, Austin, TX 78756 2020-10-27
1801377874 Rachel Gabriela Valdez Counselor 1508 North Street, Austin, TX 78756 2018-08-27
1225537111 Lydian Dental Burnet Pllc Dentist 5531 Burnet Rd, Austin, TX 78756 2018-02-06
1508306432 Quinton Dailey Physical Therapist 4000 Medical Pkwy Ste 100, Austin, TX 78756 2017-02-25
1316495757 Nicole Williams Counseling Clinic/Center 3906 North Lamar Blvd, Suite 204 D, Austin, TX 78756 2016-09-14
1720431554 John Graham Reed Dentist 4106 Marathon Blvd Ste A, Austin, TX 78756 2016-07-17
1720464779 Kasey D Kuehler Counselor 3709 Medical Parkway, Suite 100, Austin, TX 78756 2015-07-31
1720497126 Holly Elizabeth Bullion Nurse Practitioner 1101 W 40th St # 102, Austin, TX 78756 2014-08-11
1538506233 Jessica Swanson Emergency Medicine 1400 St North I-35, Suite C2.230, Austin, TX 78756 2013-06-04
1740537836 Austin Regional Home Care Inc. Home Health 3810 Medical Parkway, Suite 115, Austin, TX 78756 2012-08-08
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457951675 Caitlin R Battell Counselor 12805 Hughes St, Austin, TX 78732-1833 2020-10-27
1316546187 Cathi Heare Counselor 1502 Ranch Road 620, Austin, TX 78734-7873 2020-10-22
1104425214 Paul Lewis Duffy Counselor Counseling Services, 1625 Rutherford Ln., Austin, TX 78754 2020-10-20
1366040958 Grace Wood Counselor 1621 E 6th St Apt 2212, Austin, TX 78702-3327 2020-10-15
1871191379 Alexis Losch Counselor 13740 Research Blvd Ste L5, Austin, TX 78750-1833 2020-10-15
1518573880 Brenda Lee Rodriguez Counselor 11001 S 1st St Apt 225, Austin, TX 78748-6765 2020-09-21
1174139794 Julie Jackson Counselor 8208 Farmington Ct, Austin, TX 78736-1744 2020-09-18
1780290494 Britney Juliane Watson Counselor 10701 S Interstate 35 Apt 113, Austin, TX 78747-1777 2020-09-17
1154936235 David Barrett Counselor 2525 Wallingwood Dr Ste 216, Austin, TX 78746-6900 2020-09-15
1669084943 Lutheran Social Services of The South, Inc. Counselor 10601 Derecho Drive, Austin, TX 78737-1013 2020-08-19
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Competitor

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City AUSTIN
Zip Code 78756

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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