Kevin Mark Carter, L.P.C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PRC14580 Issued in DC

Practice address

2311 Pinefield Rd
Waldorf, MD 20601-3235

Phone

(240) 346-5541

NPI assigned

Jan 29, 2015

Last updated

Oct 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1225428139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 CRAIN HWY STE 304",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034843",
            "telephone_number": "240-419-3803",
            "fax_number": "240-419-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 PINEFIELD RD",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013235",
            "telephone_number": "240-346-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KEVIN",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "L.P.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-29",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Carney, PHARM. D.
• Latosha Carpenter, PHARMD
• Dwaine Carr
• Carter-Lambert Divisions
• Denitra Raeniece Carter
• Kiara Renee Carter, DPT
• Carters Comprehensive Support Services LLC
• Yvette Camille Cartwright-Wynn
• Imelda Oriel Castelo
• Arnel C Castrence, M.D.

• Professional Counselor in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.