Jenna Carter, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

30061 Issued in SC

Practice address

4609 Charlotte Hwy
Lake Wylie, SC 29710-8094

Phone

(803) 228-4038

Fax

(980) 414-8094

NPI assigned

Feb 26, 2025

Last updated

Jun 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Thrive Family Services

  • Community/Behavioral Health Agency
  • Clover, SC
  • NPI 1528583879
  NPD (past)

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1245037316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 J N PEASE PL STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624512",
            "telephone_number": "980-414-8094",
            "fax_number": "980-733-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 CHARLOTTE HWY",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297108094",
            "telephone_number": "803-228-4038",
            "fax_number": "980-414-8094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 J N Pease Pl Ste 202",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282624512",
            "country_code": "US",
            "telephone_number": "980-414-8094",
            "fax_number": "980-733-2794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JENNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-26",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "30061",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5021876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Bradshaw, MS/CCC-SLP
• Brooke Osterhoudt, LLC
• Allison Kay Bull, PA-C
• Carolina Family Dentistry at Lake Wylie (Carolina Family Dentistry at Rock Hill)
• Caromont Medical Group, Inc. (CaroMont Urgent Care)
• Monie B Clifton, O.D.
• Kristen Carter Cole, APRN
• Kannesha Coleman
• Melissa Colon
• Companion Counseling and Coaching (Companion Counseling)

• Psychiatric/Mental Health Nurse Practitioner in Lake Wylie, SC
• Providers in Lake Wylie, SC by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.