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Mary Kathryn Terrell , BA

Counselor β€’ Belleville, IL

Active NPI 1477894269 Individual Practitioner Female Practitioner
Practice location in NPPES

12 N 64th St
Belleville, IL 622233809

Call 6188774420 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12 N 64th St

Belleville, IL 622233809

Telephone 6188774420
Organization at the Same NPPES Address or Phone
Chestnut Health Systems, Inc. Facility NPI 1760602593

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Saint Louis, MO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Belleville and Illinois

17 active clinicians are listed under Counselor with a practice address in Belleville, IL (3,805 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Belleville

0% of these 17 clinicians have the CMS telehealth indicator.

0% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-07-28
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES IL 178.016917

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Community Health Worker

NUCC Taxonomy Code: 172V00000X

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Secondary Practice Locations

343 S Kirkwood Rd, Suite 200

Saint Louis, MO 631224015

Phone: 3142063400

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

19 listed
Amy Cyrus , ANP-BC

Nurse Practitioner - Family

NPI 1154723229

ANPBC

Melinda Dial , FNP

Nurse Practitioner - Family

NPI 1235765249

Family Nurse Practitioner

Sarah Gibson , LCSW

Social Worker - Clinical

NPI 1982189650

Licensed Clinical Social Worker

Kierstin Hancock , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053063776

Psychiatric-Mental Health Nurse Practitioner

Roberta Hughes , APN

Nurse Practitioner - Family

NPI 1740329374

Advanced Practice Nurse

Janae Korte , NP-C

Nurse Practitioner - Family

NPI 1396288502

Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 28, 2021

Registered at 12 N 64TH ST, BELLEVILLE, IL 622233809 (Tel: 6188774420)

πŸ“
Updated Business Mailing Address July 28, 2021

Registered at 448 WYLIE DR STE 400, NORMAL, IL 617615405 (Tel: 6185121502)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2021

Counselor (license number reported to NPPES: IL 178.016917)

βœ…
NPI Profile Active March 05, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 05, 2013

Registered at 343 S KIRKWOOD RD, SUITE 200, SAINT LOUIS, MO 631224015 (Tel: 3142063400)

πŸ“
Business Mailing Address (Initial Record) March 05, 2013

Registered at 1430 OLIVE ST, SUITE 400, SAINT LOUIS, MO 631032303 (Tel: 3142063700)

πŸ‘€
Provider Name / Credentials (Initial Record) March 05, 2013

Recorded as MARY TERRELL, B.A.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2013

Community Health Worker

🟒
Initial NPI Registration & Enumeration March 05, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1477894269
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2013
Last Update: July 28, 2021
Sole Proprietor: No

Mailing Address

448 Wylie Dr Ste 400

Normal, IL 617615405

Phone: 6185121502

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.