Individual provider Active NPI

Carrie Teresa Calhoon, MSW, LCSW

  • Mental Health Counselor
  • Little Rock, AR
National Provider Identifier
1104473198
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1857-C Issued in AR
Practice address
1100 N University Ave Ste 137
Little Rock, AR 72207-6344
Phone
(501) 680-6151
NPI assigned
Aug 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1857-C AR Primary

Addresses

Primary practice location

1100 N University Ave Ste 137
Little Rock, AR 72207-6344

Mailing address

6 Kingspark CT
Little Rock, AR 72227-2932
Phone (501) 680-6151

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

LicenseStateTypeSpecialty
1857-CARMDMental Health Counselor

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21567/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1104473198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 KINGSPARK CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272932",
            "telephone_number": "501-680-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N UNIVERSITY AVE STE 137",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076344",
            "telephone_number": "501-680-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOON",
        "first_name": "CARRIE",
        "middle_name": "TERESA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "1857-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.