DR. TERRENCE JAMES KOLLER PH.D.
NPI 1487647715
Psychologist - Clinical in Evanston, IL

Q: What is Terrence Koller's NPI number?

The NPI number for Terrence Koller is 1487647715. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Q: What is Terrence Koller's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Terrence Koller was last updated on October 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment

1740 RIDGE AVE, 200 C, EVANSTON, IL 60201(847) 475-5551 Get Directions Write a Review

NPPES record last updated: October 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Terrence James Koller Ph.d. NPPES

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

DR. TERRENCE JAMES KOLLER PH.D. (NPI 1487647715) is an individual clinical provider in Evanston, Illinois, licensed in Illinois (071002716) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1487647715

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. TERRENCE JAMES KOLLERCredential: PH.D.

Location Address1740 RIDGE AVE, 200 CEvanston, IL 60201-5918

Mailing Address2317 Hartrey AveEvanston, IL 60201-2552 · (847) 864-2317

Phone(847) 475-5551

Sole ProprietorYes

Medical School CMSOtherGraduated 1980

Enumeration DateAugust 23, 2005

Last NPPES UpdateOctober 7, 2011

✔ NPI 1487647715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071002716

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1740 RIDGE AVE, Evanston, IL 60201

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Other Identifiers 2

Medicare PIN209691IL

Other01672636IL · Blue Cross/blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Terrence James Koller Ph.d. 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.

PECOS PAC ID3476529777

PECOS Enrollment IDI20040908000923

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

241 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCCABE SPEECH AND LANGUAGE SERVICES

Speech-Language Pathologist

1740 RIDGE AVE, LL11B
EVANSTON, IL 60201

Cook County (847) 869-2615

MS. ELLEN M LONNQUIST M.S., L.M.F.T.

Marriage & Family Therapist

1740 RIDGE AVE, SUITE 201
EVANSTON, IL 60201

Cook County (847) 475-7003

STEFANI AZORES-GOCOCO LPC

Counselor (Professional)

1740 RIDGE AVE
EVANSTON, IL 60201

Cook County (847) 558-7327

DR. MEHGAN KATHLEEN DEVINE PSYD

Psychologist (Clinical)

1740 RIDGE AVE, SUITE 200C, OFFICE B
EVANSTON, IL 60201

Cook County (773) 972-5885

MS. BETH ELLEN KATZ MS, ED.M, LCPC, CT

Counselor (Professional)

1740 RIDGE AVE, SUITE 201
EVANSTON, IL 60201

Cook County (847) 475-7003

MELISSA RING

Counselor (Mental Health)

1740 RIDGE AVE
EVANSTON, IL 60201

Cook County (847) 558-7327

JAX ANTHONY MOSQUERA

Counselor (Mental Health)

1740 RIDGE AVE
EVANSTON, IL 60201

Cook County (847) 558-7327

JOSEPHINE PLOETZ, LCSW, LLC

Social Worker

1740 RIDGE AVE, SUITE 101B
EVANSTON, IL 60201

Cook County (847) 866-8591

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 Terrence Koller's NPI number?

The NPI number for Terrence Koller is 1487647715. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Terrence Koller located?

Terrence Koller practices at 1740 Ridge Ave 200 C, Evanston, IL 60201. The listed phone number is (847) 475-5551.

What is Terrence Koller's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Terrence Koller enrolled in Medicare?

Yes. Terrence Koller 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.

When was this NPI record last updated?

The NPPES record for Terrence Koller was last updated on October 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.