Individual provider Active NPI

Antita Carter, LPC

  • Professional Counselor
  • Stone Mountain, GA
National Provider Identifier
1174864714
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007059 Issued in GA
Practice address
1050 Redan Trce
Stone Mountain, GA 30088-2900
Phone
(229) 699-4666
NPI assigned
Mar 6, 2013
Last updated
Oct 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC007059 GA Primary

Addresses

Primary practice location

1050 Redan Trce
Stone Mountain, GA 30088-2900

Mailing address

1050 Redan Trce
Stone Mountain, GA 30088-2900
Phone (229) 699-4666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260312002762 GA Practitioner - Mental Health Counselor 2769965250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

35 Hampton PL
Covington, GA 30016-1620

7187 Washington St SW
Suite B
Covington, GA 30014-3433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC007059GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Healing Center, LLC CurrentSince Nov 12, 2025 Accepting new patients
The Counseling Healing Center, LLC Past Accepting new patients
The Counseling Healing Center, LLC Professional Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1174864714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 REDAN TRCE",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882900",
            "telephone_number": "229-699-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 REDAN TRCE",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882900",
            "telephone_number": "229-699-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ANTITA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

Verify at the official NPI Registry.