MARY TERO CAP NPI 1063831840

NPI Information

  • NPI: 1063831840
  • Provider Name: MARY TERO, CAP
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1777 TAMIAMI TRL STE 201
    PORT CHARLOTTE, FL
    ZIP 33948
  • Phone: (941) 249-4354

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NPI Details

Mary Tero, CAP is a mental health counselor in Port Charlotte, FL with 21 years of experience. Mary Tero, CAP NPI is 1063831840. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1777 TAMIAMI TRL STE 201
PORT CHARLOTTE, FL
ZIP 33948-064
Phone: (941) 249-4354
Fax: (941) 249-4356

The NPI 1063831840 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/9/2014 and was last updated on 7/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)5722FLORIDANo
2101YM0800XCounselorMental HealthMH16554FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1101843200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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