Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Terrell Proctor, LPC

Individual provider Professional Counselor · NPI 1790189603

Mr. Terrell Proctor, LPC is a Marriage and Family Therapist in Clifton, New Jersey. Qualified in 2003, 23 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
23
Licensed in
NJ
In the registry since
2014
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

291 River Rd
Clifton, NJ 07014
Phone: (862) 227-3975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 37PC00480500 (NJ)

Record details

NPI number1790189603
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 21, 2014
Last updated in NPPESDecember 12, 2019
Certification dateDecember 12, 2019
Mailing address291 River Road, Clifton, NJ 07014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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