TERRY BRYAN AUSTIN (NPI# 1255859336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255859336 |
| Entity Type | Individual |
| Full Name | TERRY BRYAN AUSTIN |
| Credential | LPC |
| Practice Address |
1450 E 10th St Rolla MO 65401-3648 |
| Mailing Address |
1800 Community Clinton MO 64735-8804 |
| Practice Telephone | 8884031071 |
| Mailing Telephone | 6608858131 |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2018-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2016008355 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 101YP2500X | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1450 E 10th St, Rolla, MO 654013648 | (573) 364-7551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215395298 | Terry Jane Austin | Clinic/Center | 27 W 7th St, Frederick, MD 21701-4689 | 2016-02-04 |
| Street Address |
1450 E 10TH ST |
| City | ROLLA |
| State | MO |
| Zip Code | 65401-3648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003892514 | Donna K Bond | Registered Nurse | 1450 E 10th St, Rolla, MO 65401-3648 | 2005-12-16 |
| 1750982989 | Kristen Joi Yoshie Cheong | Psychologist | 1450 E 10th St, Rolla, MO 65401-3648 | 2020-11-04 |
| 1942801220 | Amy Sue Dunn | Behavioral Analyst | 1450 E 10th St, Rolla, MO 65401-3648 | 2020-11-04 |
| 1194324343 | Nicole Bethany Dorio | Psychologist | 1450 E 10th St, Rolla, MO 65401-3648 | 2020-10-20 |
| 1871147868 | Megan Elizabeth Moorkamp | Social Worker | 1450 E 10th St, Rolla, MO 65401-3648 | 2019-07-29 |
| 1730740069 | Emmogene Lee Chepely | Counselor | 1450 E 10th St, Rolla, MO 65401-3648 | 2019-06-26 |
| 1295201622 | Sarah Elizabeth Lea | Psychologist | 1450 E 10th St, Rolla, MO 65401-3648 | 2018-10-24 |
| 1518441633 | Brienna Thompson | Counselor | 1450 E 10th St, Rolla, MO 65401-3648 | 2018-09-25 |
| 1619457660 | Amy M. Chambers | Counselor | 1450 E 10th St, Rolla, MO 65401-3648 | 2018-08-20 |
| 1972082840 | Rebecca Sidwell | Counselor | 1450 E 10th St, Rolla, MO 65401-3648 | 2018-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1588032924 | Jarena Fleischman | Counselor | 10107 County Road 5440, Rolla, MO 65401-6799 | 2015-09-02 |
| 1902272248 | Kathy Stavropoulos | Counselor | 575 Blues Lake Pkwy, Rolla, MO 65401-8587 | 2015-08-20 |
| 1033513924 | Rebecca Lynne Helm | Counselor | 14431 County Road 8120, Rolla, MO 65401-5335 | 2014-10-21 |
| 1811302706 | Crystal Cramer | Counselor | 585 Basswood Dr, Rolla, MO 65401-4478 | 2014-06-30 |
| 1063721587 | Deborah Ann Hale | Counselor | 10821 Breeden Dr, Rolla, MO 65401-9361 | 2010-09-30 |
| 1841469699 | Victoria Elaine Britton | Counselor | 616 N Pine St, Suite 240, Rolla, MO 65401-3136 | 2008-02-26 |
| 1184813784 | Jonnie Mae Middletonlotte | Counselor | 1602 Spencer St, Rolla, MO 65401-2445 | 2007-10-18 |
| 1205038593 | Christina James Johnson | Counselor | 1303 E State Route 72, Rolla, MO 65401-3940 | 2007-05-31 |
| 1508983024 | Gregory C Hessler | Counselor | 702 Republic Dr, Rolla, MO 65401-4800 | 2007-03-22 |
| Find all providers in ROLLA | ||||
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| 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.