MEDICARE: MR. MICHAEL TERRANOVA MA, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC.0004123	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912078106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL TERRANOVA MA, LPC

Provider Business Mailing Address
First Line	:	1290 CHAMBERS RD
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80011-7117
Country	:	US
Telephone Number	:	303-617-2300
Fax Number	:	303-617-2344

Provider Business Practice Location Address
First Line	:	10782 E ALAMEDA AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80012-1017
Country	:	US
Telephone Number	:	303-617-2300
Fax Number	:	303-617-2344

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2006
Last Update Date	:	02/19/2025

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