PHILLIP TERRELL
NPI 1336697549
Counselor - Professional in Temple Hills, MD
About Phillip Terrell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILLIP TERRELL (NPI 1336697549) is an individual professional provider in Temple Hills, Maryland, licensed in Maryland (LC6507) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Phillip Terrell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Phillip Terrell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Landover, MD 20785
- Reassigned Medicare billing, District of Columbia enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Phillip Terrell's NPI number?
The NPI number for Phillip Terrell is 1336697549. It was assigned to this individual provider in the NPPES registry on September 16, 2016. The provider is also known as Phillip Terrell Lcpc.
Where is Phillip Terrell located?
Phillip Terrell practices at 2987 Brinkley Rd Apt 102, Temple Hills, MD 20748. The listed phone number is (240) 470-2039.
What is Phillip Terrell's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Phillip Terrell enrolled in Medicare?
Yes. Phillip Terrell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Phillip Terrell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Terrell reassigns Medicare benefits to Interdynamics, Inc. (Landover, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phillip Terrell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Phillip Terrell was last updated on March 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.
# Phillip Terrell · NPI 1336697549
Professional provider in Temple Hills, Maryland. Individual provider, active in the CMS NPPES registry since September 16, 2016.
## Identity
- **NPI:** 1336697549 (Entity type: Individual)
- **Enumerated:** September 16, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LC6507 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2987 BRINKLEY RD APT 102, Temple Hills, MD 20748-6009
- **Phone:** (240) 470-2039
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Interdynamics, Inc. (NPI 1952570343, Landover, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** March 10, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1336697549) · Data from the CMS NPPES public registry.