Mrs Katie Terry, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Marietta, Georgia. Her current practice location is
711 Pear Grove Pl, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 304-8788.
Mrs Katie Terry is licensed to practice in Georgia (license number CSW007418) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144806746.
Healthcare Provider's Profile
Full Name | Mrs Katie Terry |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 711 Pear Grove Pl, Marietta, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144806746
- Provider Enumeration Date: 03/23/2021
- Last Update Date: 06/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 5193194298
- Enrollment ID: I20221213000394
Medical Identifiers
Medical identifiers for Mrs Katie Terry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144806746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | CSW007418 (Georgia) | Secondary |
101YM0800X | Counselor - Mental Health | CSW007418 (Georgia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Katie Terry allows following entities to bill medicare on her behalf.
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747 |
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Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
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Entity Name | Mindful Health Solutions Ga Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982354395 PECOS PAC ID: 0547642803 Enrollment ID: O20220802004092 |
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Entity Name | Activating Harmony, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588473805 PECOS PAC ID: 0749718344 Enrollment ID: O20250109003968 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Katie Terry is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Katie Terry, LCSW 711 Pear Grove Pl, Marietta, GA 30066-5826 Ph: (678) 304-8788 | Mrs Katie Terry, LCSW 711 Pear Grove Pl, Marietta, GA 30066-5826 Ph: (678) 304-8788 |
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