Tracy Ellen Carter, M.S., L.C.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1916 Issued in WV

Practice address

126 E Burke St
Martinsburg, WV 25401-4302

Phone

(410) 598-3186

Fax

(304) 725-9096

NPI assigned

Jun 16, 2006

Last updated

Aug 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 9, 2024 through Jan 9, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Therapeutic Services of Tracy Carter, M.S., L.C.P.C., L.L.C.

  • Professional Counselor
  • Severna Park, MD
  • NPI 1326105263
  NPD (past) Authorized official

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1114961141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 GIRTH LN",
            "city": "SHENANDOAH JUNCTION",
            "state": "WV",
            "postal_code": "254424032",
            "telephone_number": "410-598-3186",
            "fax_number": "304-725-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E BURKE ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014302",
            "telephone_number": "410-598-3186",
            "fax_number": "304-725-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TRACY",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.C.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "1916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409607000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409607001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Clark Carter
• Elizabeth Carter, MSW, LMSW
• Katelynn Carter
• Lisa Carter
• Saundra Carter
• David Roberto Carvajal, DDS
• Kathleen Casaly
• Carol Cashwell
• Ismary Castillo-Peguero
• Rebecca Casto, BSN, RN

• Professional Counselor in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Professional Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.