Active NPI
Brian Carr
- Professional Counselor
- Zirconia, NC
National Provider Identifier
1306483102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A14546
- Practice address
- 160 Vantage Point Dr
Zirconia, NC 28790-8832 - Phone
- (407) 929-4576
- NPI assigned
- Nov 30, 2019
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A14546 | NC | Primary |
| Mental Health Counselor | 101YM0800X | A14546 | NC |
Addresses
Primary practice location
160 Vantage Point Dr
Zirconia, NC 28790-8832
Mailing address
160 Vantage Point Dr
Zirconia, NC 28790-8832
Phone (407) 929-4576
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 |
|---|---|---|---|
| A14546 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575072000000",
"number": "1306483102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 VANTAGE POINT DR",
"city": "ZIRCONIA",
"state": "NC",
"postal_code": "287908832",
"telephone_number": "407-929-4576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 VANTAGE POINT DR",
"city": "ZIRCONIA",
"state": "NC",
"postal_code": "287908832",
"telephone_number": "407-929-4576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "BRIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-30",
"last_updated": "2019-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A14546",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A14546",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zirconia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.