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ANDREA WALLACE-TERWILLIGER T-LMHC
NPI 1114607793
Counselor - Mental Health in Red Oak, IA

Active since July 19, 2023PECOS Enrolled
1977 G AVE, RED OAK, IA 51566(712) 623-6349(712) 623-6047 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2026, Jan 6, 2026, Jul 19, 2023 (3 updates tracked since 2023).

About Andrea Wallace-terwilliger T-lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA WALLACE-TERWILLIGER T-LMHC (NPI 1114607793) is an individual mental health provider in Red Oak, Iowa and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114607793
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANDREA WALLACE-TERWILLIGERCredential: T-LMHC
Location Address1977 G AVERed Oak, IA 51566-4474
Mailing AddressPo Box 115Shenandoah, IA 51601-0115
Phone(712) 623-6349
Fax(712) 623-6047
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 19, 2023
Last NPPES UpdateJanuary 12, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1114607793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1977 G AVE, Red Oak, IA 51566
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Wallace-terwilliger T-lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274029913
PECOS Enrollment IDI20251231002986
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Wallace-terwilliger's NPI number?

The NPI number for Andrea Wallace-terwilliger is 1114607793. It was assigned to this individual provider in the NPPES registry on July 19, 2023.

Where is Andrea Wallace-terwilliger located?

Andrea Wallace-terwilliger practices at 1977 G Ave, Red Oak, IA 51566. The listed phone number is (712) 623-6349.

What is Andrea Wallace-terwilliger's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Andrea Wallace-terwilliger enrolled in Medicare?

Yes. Andrea Wallace-terwilliger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Wallace-terwilliger was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.