Individual provider Active NPI

James Darin Carpenter, LPC

  • Professional Counselor
  • Springfield, MO
National Provider Identifier
1013655943
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2005037537 Issued in MO
Practice address
3600 S National Ave
Springfield, MO 65807-7311
Phone
(417) 322-6622
Fax
(417) 350-1935
NPI assigned
May 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2005037537 MO Primary

Addresses

Primary practice location

3600 S National Ave
Springfield, MO 65807-7311

Mailing address

3600 S National Ave
Springfield, MO 65807-7311
Phone (417) 322-6622

Other identifiers 2

IdentifierTypeStateIssuer
2005037537OtherMOMISSOURI LICENSED PROFESSIONAL COUNSELOR LICENSE
490109515MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231129002249 MO Practitioner - Mental Health Counselor 2769830892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honour Brite LLCGroup PAC ID 3971864588, 14 clinicians

Practice addresses (Care Compare)

1505 E Bradford Pkwy
Eustasis Psychiatric and Addiction Health
Springfield, MO 65804-6566
Phone (417) 322-6622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2005037537MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Honour Brite LLC CurrentSince Jan 1, 2024 Accepting new patients
Eustasis Foundation, Inc CurrentSince May 1, 2022 Accepting new patients

Locations

5548 N Farmer Branch Rd
Ozark, MO 65721
Phone (417) 269-2215

3600 S National Ave
Springfield, MO 65807
Phone (417) 322-6622

3100 S National Ave
Ste 103
Springfield, MO 65807
Phone (417) 322-6622

1505 E Bradford Pkwy
Springfield, MO 65804
Phone (417) 281-0053

Interoperability endpoints

  • Direct secure messaging: james.carpenter.5@21190.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1013655943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077311",
            "telephone_number": "417-322-6622",
            "fax_number": "417-350-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077311",
            "telephone_number": "417-322-6622",
            "fax_number": "417-350-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "JAMES",
        "middle_name": "DARIN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2005037537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSED PROFESSIONAL COUNSELOR LICENSE",
            "identifier": "2005037537",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490109515",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.