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TERRE SURA
NPI 1811402837
Counselor - Professional in Saint Johns, MI

Active since December 13, 2017PECOS Enrolled
1505 WATERFORD PKWY, SAINT JOHNS, MI 48879(989) 292-3572(989) 292-3952 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2024, Mar 3, 2022, Dec 13, 2017 (3 updates tracked since 2017).

About Terre Sura NPPES

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

TERRE SURA (NPI 1811402837) is an individual professional provider in Saint Johns, Michigan, licensed in Michigan (6401222407) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811402837
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTERRE SURA
Location Address1505 WATERFORD PKWYSaint Johns, MI 48879-9630
Mailing Address1505 Waterford PkwySaint Johns, MI 48879-9630 · (989) 292-3572 · Fax (989) 292-3952
Phone(989) 292-3572
Fax(989) 292-3952
Sole ProprietorNo
Enumeration DateDecember 13, 2017
Last NPPES UpdateMarch 4, 20243 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1811402837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401222407
1505 WATERFORD PKWY, Saint Johns, MI 48879
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Terre Sura reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinton County Medical Center Psychological Services PLLC
Same address
Family Medicine
1505 WATERFORD PKWY
Saint Johns, MI 48879
  • Reassigned Medicare billing, Michigan enrollment
  • 35 clinicians in this Medicare group
NPI 1538973144 (989) 292-3572

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KAILEY GIMMEY
Counselor
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Clinton County (989) 292-3572
TIMOTHY HIGGINS B.A., H.I.S.
Hearing Instrument Specialist
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Clinton County (989) 640-3687
LEAH SMITH
Psychologist
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Clinton County (989) 292-3572
ROBIN PADILLA
Counselor (Mental Health)
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Clinton County (989) 292-3572
AMANDA PATTERSON L.L.P.C.
Counselor (Professional)
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Clinton County (989) 224-3000
JESSICA POLEN
Assistant Behavior Analyst
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Clinton County (989) 292-3572
REBECCA SUE NOFFKE LLMSW
Counselor (Mental Health)
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Clinton County (989) 668-0700
MR. RODGER JOHNNIE HIATT II LMSW
Social Worker
1505 WATERFORD PKWY
SAINT JOHNS, MI 48879
Clinton County (989) 224-3000

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 Terre Sura's NPI number?

The NPI number for Terre Sura is 1811402837. It was assigned to this individual provider in the NPPES registry on December 13, 2017.

Where is Terre Sura located?

Terre Sura practices at 1505 Waterford Pkwy, Saint Johns, MI 48879. The listed phone number is (989) 292-3572.

What is Terre Sura's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Terre Sura enrolled in Medicare?

Yes. Terre Sura is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Terre Sura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terre Sura reassigns Medicare benefits to Clinton County Medical Center Psychological Services PLLC (Saint Johns, MI). 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 Terre Sura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terre Sura accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Terre Sura as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Terre Sura was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.