Kim A Carter

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

163235 Issued in OH

Practice address

737 Bank St
Lodi, OH 44254-1025

Phone

(330) 636-1741

NPI assigned

Jan 29, 2018

Last updated

Jan 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• A New Day Lodi, LLC

  • Mental Health Counselor
  • Lodi, OH
  • NPI 1477015840
  NPD (past)
• A New Day Lodi, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Lodi, OH
  • NPI 1881049856
  NPD (past)

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1023516788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 BANK ST",
            "city": "LODI",
            "state": "OH",
            "postal_code": "442541025",
            "telephone_number": "330-636-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 BANK ST",
            "city": "LODI",
            "state": "OH",
            "postal_code": "442541025",
            "telephone_number": "330-636-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KIM",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "163235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Marie Arnold, L.P.N.
• Jill M Bagnall, LPN
• Konstantin Baiuklin
• Christina Banasek, PT
• Nickolas Paul Burick
• Andrea Cavendish
• Josh Chlam
• Amelia Cianciola, CDCA PRELIMINARY
• Cloverleaf Local Schools
• Lauren Marie Clutter

• Addiction (Substance Use Disorder) Counselor in Lodi, OH
• Providers in Lodi, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.