Active NPI
Christina Louise Carter, LCMHC, CRC
- Mental Health Counselor
- Cary, NC
National Provider Identifier
1104343516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12595
- Practice address
- 3434 Kildaire Farm Rd Ste 135-182
Cary, NC 27518-2277 - Phone
- (919) 355-6577
- NPI assigned
- Aug 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A12595 | NC | |
| Rehabilitation Counselor | 225C00000X | 00211991 | NC | |
| Mental Health Counselor | 101YM0800X | 12595 | NC | Primary |
Addresses
Primary practice location
3434 Kildaire Farm Rd Ste 135-182
Cary, NC 27518-2277
Mailing address
3434 Kildaire Farm Road
Ste 135 PMB 182
Cary, NC 27518-2278
Phone (919) 355-6577
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A12595 | NC | MD | Mental Health Counselor |
| 12595 | NC | MD | Pharmacist |
| 00211991 | NC | MD | Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1104343516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3434 KILDAIRE FARM ROAD",
"address_2": "STE 135 PMB 182",
"city": "CARY",
"state": "NC",
"postal_code": "275182278",
"telephone_number": "919-355-6577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3434 KILDAIRE FARM RD STE 135-182",
"city": "CARY",
"state": "NC",
"postal_code": "275182277",
"telephone_number": "919-355-6577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "CHRISTINA",
"middle_name": "LOUISE",
"credential": "LCMHC, CRC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A12595",
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "NC",
"license": "00211991",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "12595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.