Individual provider Active NPI

Lou Ann R. Carter, MSW, LICSW

  • Professional Counselor
  • Everett, WA
National Provider Identifier
1164933271
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MC60778339 Issued in WA
Practice address
1901 16TH Street
Everett, WA 98201
Phone
(360) 722-1471
NPI assigned
Oct 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LW60431473 WA
Professional Counselor 101YP2500X MC60778339 WA Primary

Addresses

Primary practice location

1901 16TH Street
Everett, WA 98201

Mailing address

P.O. Box 1906
Marysville, WA 98270
Phone (360) 722-1471

Other practice location 1

5318 Chief Brown Ln
Darrington, WA 98241-9420
Phone (360) 436-0131

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
MC60778339WAMDProfessional Counselor
LW60431473WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sauk-Suiattle Indian Tribe PastSince Sep 8, 2018 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.

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1164933271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1906",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "98270",
            "telephone_number": "360-722-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 16TH STREET",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98201",
            "telephone_number": "360-722-1471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5318 Chief Brown Ln",
            "address_purpose": "LOCATION",
            "city": "Darrington",
            "state": "WA",
            "postal_code": "982419420",
            "country_code": "US",
            "telephone_number": "360-436-0131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "LOU ANN",
        "middle_name": "R.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW60431473",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "MC60778339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.