Active NPI
Robert Carter Jr., MS
- School Counselor
- Henderson, NV
National Provider Identifier
1174068514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 55164
- Practice address
- 686 Ladywood LN
Henderson, NV 89002-8274 - Phone
- (702) 596-7805
- NPI assigned
- Dec 20, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 55164 | NV | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
686 Ladywood LN
Henderson, NV 89002-8274
Mailing address
686 Ladywood LN
Henderson, NV 89002-8274
Phone (702) 596-7805
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55164 | NV | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1174068514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "686 LADYWOOD LN",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890028274",
"telephone_number": "702-596-7805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "686 LADYWOOD LN",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890028274",
"telephone_number": "702-596-7805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-20",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NV",
"license": "55164",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.