Jacqueline Carrera, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701011120 Issued in VA

Practice address

1800 Diagonal Rd
Suite 600 PMB 1139
Alexandria, VA 22314-2840

Phone

(703) 461-4975

NPI assigned

Feb 1, 2020

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Prospera Counseling and Consulting PLLC

  • Community/Behavioral Health Agency
  • Alexandria, VA
  • NPI 1619790342
  NPD Authorized official

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

{
    "created_epoch": "1580515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1104457712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 DIAGONAL RD",
            "address_2": "SUITE 600 PMB 1139",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142840",
            "telephone_number": "703-261-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 DIAGONAL RD",
            "address_2": "SUITE 600 PMB 1139",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142840",
            "telephone_number": "703-461-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERA",
        "first_name": "JACQUELINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701011120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Carr, DPT
• Kendrick Carr
• Kimberly Jo Carr, LCSW
• Laura Carr, B.C.B.A.
• Claudia Carrera
• Carrick Family Counseling, LLC
• Amanda Carrington, LPC
• Cesar J Jose Carrion
• Sabre N Carter-Abdalmajied
• Andrea C Carter, PA-C

• All providers in Alexandria, VA
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.