Dominic Carter

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701014210 Issued in VA

Practice address

723 Twinridge LN
North Chesterfield, VA 23235-5270

Phone

(804) 982-0405

NPI assigned

Nov 22, 2024

Sex

Male

Sole proprietor

Yes

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

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Choice Christian Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Chesterfield, VA
  • NPI 1396561080
  NPD Authorized official

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1053136119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10221 KRAUSE RD UNIT 194",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238321208",
            "telephone_number": "804-982-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 TWINRIDGE LN",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355270",
            "telephone_number": "804-982-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "DOMINIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jones Carpenter, MD
• Myra Carr Garrett
• Christina Carter-Uriss, LCSW
• Aalaesha Carter
• Ashley B Carter, CF-SLP
• Jori S Carter, MD
• Luke Taylor Carter
• Madalyn Carter, CCC-SLP
• Nicole Carter, CRNA
• Sandra Elizabeth Carter, MSW, LCSW

• Professional Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.