MR. TERENCE ROLAND SOMERVILLE MA LPCC NPI 1477881316

NPI Information

  • NPI: 1477881316
  • Provider Name: MR. TERENCE ROLAND SOMERVILLE, MA, LPCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 715 S TAFT AVE
    FREMONT, OH
    ZIP 43420
  • Phone: (419) 334-6619

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NPI Details

MR. Terence Roland Somerville, MA, LPCC is a mental health counselor in Fremont, OH. MR. Terence Roland Somerville, MA, LPCC NPI is 1477881316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

715 S TAFT AVE
FREMONT, OH
ZIP 43420-237
Phone: (419) 334-6619
Fax: (419) 334-6671

The NPI 1477881316 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 12/4/2009 and was last updated on 10/6/2016.

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
1101YM0800XCounselorMental HealthE0003532OHIOYes

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
10157472MEDICAIDOHIO

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: 3/30/2025

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