Active NPI
Andrea Carter, CDCA
- Addiction (Substance Use Disorder) Counselor
- Toledo, OH
National Provider Identifier
1144054289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 3170 W Central Ave
Toledo, OH 43606-2945 - Phone
- (567) 803-9706
- NPI assigned
- Aug 30, 2024
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
3170 W Central Ave
Toledo, OH 43606-2945
Mailing address
2057 E Crest Dr
Toledo, OH 43614-1810
Phone (419) 304-5913
Other practice location 1
2057 E Crest Dr
Toledo, OH 43614-1810
Phone (419) 304-5913
Other practice location 2
17325 Euclid Ave Ste 2040
Cleveland, OH 44112-1250
Phone (567) 416-9997
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Growth Counseling Services LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Toledo, OH
- NPI 1023776028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1144054289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2057 E CREST DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436141810",
"telephone_number": "419-304-5913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3170 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436062945",
"telephone_number": "567-803-9706"
}
],
"practiceLocations": [
{
"address_1": "2057 E Crest Dr",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436141810",
"country_code": "US",
"telephone_number": "419-304-5913",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17325 Euclid Ave Ste 2040",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441121250",
"country_code": "US",
"telephone_number": "567-416-9997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "ANDREA",
"credential": "CDCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-30",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.