Active NPI
Addie B Carter, MA, LLPC, RAC
- Professional Counselor
- Kalamazoo, MI
National Provider Identifier
1053677997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401011964
- Practice address
- 5617 Blue Meadow Cir
Kalamazoo, MI 49048-8225 - Phone
- (269) 998-6288
- NPI assigned
- Apr 4, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | 6401011964 | MI | Primary |
Addresses
Primary practice location
5617 Blue Meadow Cir
Kalamazoo, MI 49048-8225
Mailing address
P.O. Box 535
Kalamazoo, MI 49004
Phone (269) 998-6288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401011964 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1053677997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 535",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "49004",
"telephone_number": "269-998-6288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5617 BLUE MEADOW CIR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490488225",
"telephone_number": "269-998-6288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "ADDIE",
"middle_name": "B",
"credential": "MA, LLPC, RAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-04",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401011964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.