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Active NPI 1568693307 Individual Practitioner Male Practitioner

Shayne L Terry , MA, LPC

Counselor - Professional • Odessa, TX

Professional Overview & Biography Verified Profile Summary

Shayne Terry, MA, LPC is a registered healthcare professional specializing in Counselor - Professional in Odessa, TX. Practice services are available at 2626 JBS PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2626 Jbs Pkwy
Ste C 129

Odessa, TX 797611958

Telephone 4323331333
Fax 4323331335
Associated Practice Facility / Clinic
🏢 Ravi Medi Facility NPI 1235286535

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Odessa, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.8 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
47 Specialists

Practicing in Odessa, TX (21203 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 6040S

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Ravi Medi , MD

Psychiatry & Neurology - Psychiatry

NPI 1386621977

Doctor of Medicine (M.D.)

Janet Moore , FNP

Nurse Practitioner - Family

NPI 1669584918

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 28, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2009

Registered at 2626 JBS PKWY, STE C 129, ODESSA, TX 797611958 (Tel: 4323331333)

📍
Updated Business Mailing Address July 28, 2009

Registered at 2626 JBS PKWY, STE C 129, ODESSA, TX 797611958 (Tel: 4323331333)

👤
Provider Name / Credentials Updated July 28, 2009

Recorded as SHAYNE TERRY, MA, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2009

Counselor (License #6040S in TX)

🟢
Initial NPI Registration & Enumeration July 28, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568693307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2009
Last Update: July 28, 2009
Sole Proprietor: Yes

Mailing Address

2626 Jbs Pkwy, Ste C 129

Odessa, TX 797611958

Phone: 4323331333

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.