Individual provider Active NPI

Gerald Carter, LSW

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1154945954
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
33009386A Issued in IN
Practice address
1387 N Shadeland Ave Ste B
Indianapolis, IN 46219-3605
Phone
(317) 625-0217
NPI assigned
Jun 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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 33009386A IN Primary

Addresses

Primary practice location

1387 N Shadeland Ave Ste B
Indianapolis, IN 46219-3605

Mailing address

Carter Counseling Services LLC, 1387 N Shadeland Ave
Suite B
Indianapolis, IN 46219
Phone (317) 625-0217

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL cartercounselingservicesllc@gmail.com Direct

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
33009386AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carter Counseling Services LLC CurrentSince Jun 14, 2020 Accepting new patients

Locations

1387 N Shadeland Ave
Ste B
Indianapolis, IN 46219
Phone (317) 625-0217

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.

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1154945954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARTER COUNSELING SERVICES LLC, 1387 N SHADELAND AVE",
            "address_2": "SUITE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46219",
            "telephone_number": "317-625-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 N SHADELAND AVE STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462193605",
            "telephone_number": "317-625-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "GERALD",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "33009386A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cartercounselingservicesllc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1387 N Shadeland Ave Ste B",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462193605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.