Active NPI
Krystal Carter, LPC
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1033511472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC006900
- Practice address
- 3905 Ford Rd
Suite 6
Philadelphia, PA 19131-2824 - Phone
- (215) 220-2111
- NPI assigned
- Sep 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC006900 | PA | Primary |
Addresses
Primary practice location
3905 Ford Rd
Suite 6
Philadelphia, PA 19131-2824
Mailing address
3905 Ford Rd
Suite 6
Philadelphia, PA 19131-2824
Phone (215) 220-2111
Other names 1
- Krystal Layne
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 8, 2025 through May 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC006900 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1033511472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 FORD RD",
"address_2": "SUITE 6",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191312824",
"telephone_number": "215-220-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 FORD RD",
"address_2": "SUITE 6",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191312824",
"telephone_number": "215-220-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "KRYSTAL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-17",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC006900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRYSTAL",
"last_name": "LAYNE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.