Brenquetta Shavanir Carr, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3628 Issued in AL

Practice address

524 Lorna SQ
Hoover, AL 35216-5480

Phone

(052) 573-6090

Fax

(205) 573-6090

NPI assigned

Jul 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Spark Counseling & Consulting LLC

  • Mental Health Counselor
  • Vestavia Hills, AL
  • NPI 1467919654

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1023530243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 LORNA SQ",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352165480",
            "telephone_number": "205-573-6090",
            "fax_number": "205-313-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 LORNA SQ",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352165480",
            "telephone_number": "052-573-6090",
            "fax_number": "205-573-6090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 20th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352054913",
            "country_code": "US",
            "telephone_number": "205-510-2761",
            "fax_number": "205-313-9038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "BRENQUETTA",
        "middle_name": "SHAVANIR",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241372",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238745",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camora Canty, PHARMD
• Capital Medical Systems LLC
• Care With Flair, LLC
• Carehere LLC
• Carelink EMS LLC
• Katherine E Carroll, CRNA
• Dylan Carson, MS, RDN, LDN
• Amber Carter
• Charles H Carter II, DMD
• Daniel Thomas Carter, M.D.

• Professional Counselor in Hoover, AL
• Providers in Hoover, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.