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TERRY ABSALOM
NPI 1720776388
Counselor - Mental Health in Leesburg, VA

Active since May 01, 2023PECOS Enrolled
102 HERITAGE WAY NE STE 102, LEESBURG, VA 20176(703) 777-0320 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Terry Absalom NPPES

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

TERRY ABSALOM (NPI 1720776388) is an individual mental health provider in Leesburg, Virginia and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720776388
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTERRY ABSALOM
Location Address102 HERITAGE WAY NE STE 102Leesburg, VA 20176-4544
Mailing Address102 Heritage Way Ne Ste 102Leesburg, VA 20176-4544
Phone(703) 777-0320
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 1, 2023
NPPES CertifiedMay 1, 2023
✔ NPI 1720776388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
102 HERITAGE WAY NE STE 102, Leesburg, VA 20176
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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)

Terry Absalom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103301627
PECOS Enrollment IDI20260401002208
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.

Other Providers at the Same Location NPPES 5

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

LYNN GURLEY LCSW
Social Worker (Clinical)
102 HERITAGE WAY NE STE 102
LEESBURG, VA 20176
Loudoun County (703) 777-0320
MRS. AMANDA ARNETTE FERENTINOS LPC
Counselor (Professional)
102 HERITAGE WAY NE STE 102
LEESBURG, VA 20176
Loudoun County (703) 777-0320
ZHANE HILL
Social Worker (Clinical)
102 HERITAGE WAY NE STE 102
LEESBURG, VA 20176
Loudoun County (757) 600-9972
MS. RACHEL RIGUAL WILSON WRIGHT LCSW
Social Worker (Clinical)
102 HERITAGE WAY NE STE 102
LEESBURG, VA 20176
Loudoun County (703) 855-3818
MARIAN E SHENODA MA, LRC
Counselor (Mental Health)
102 HERITAGE WAY NE STE 102
LEESBURG, VA 20176
Loudoun County (703) 771-5100

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 Terry Absalom's NPI number?

The NPI number for Terry Absalom is 1720776388. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Terry Absalom located?

Terry Absalom practices at 102 Heritage Way NE Ste 102, Leesburg, VA 20176. The listed phone number is (703) 777-0320.

What is Terry Absalom's specialty?

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

Is Terry Absalom enrolled in Medicare?

Yes. Terry Absalom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Terry Absalom was last updated on May 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.