Active NPI
Carrie Ann Schroeder, LPC, LMHC
- Professional Counselor
- Cornelius, NC
National Provider Identifier
1265081046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14574
- Practice address
- 17105 Kenton Dr Ste 201C
Cornelius, NC 28031-5654 - Phone
- (850) 232-6297
- NPI assigned
- Sep 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 14574 | NC | Primary |
Addresses
Primary practice location
17105 Kenton Dr Ste 201C
Cornelius, NC 28031-5654
Mailing address
20319 Southshore Dr
Cornelius, NC 28031-6021
Phone (850) 232-6297
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14574 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1265081046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20319 SOUTHSHORE DR",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280316021",
"telephone_number": "850-232-6297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17105 KENTON DR STE 201C",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280315654",
"telephone_number": "850-232-6297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "CARRIE",
"middle_name": "ANN",
"credential": "LPC, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-05",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "14574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.