Scotty Carpenter, PHD, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18107 Issued in NC

Practice address

379 S Cox St
Asheboro, NC 27203-5714

Phone

(336) 860-3262

NPI assigned

Sep 23, 2022

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Counseling Asheboro, PLLC

  • Community/Behavioral Health Agency
  • Asheboro, NC
  • NPI 1063054690

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1316660335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 WATERVIEW CT",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272033070",
            "telephone_number": "336-465-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 S COX ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035714",
            "telephone_number": "336-860-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "SCOTTY",
        "name_prefix": "Dr.",
        "credential": "PHD, LCMHCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Residential Services, Inc.
• Carolina Residential Services, Inc.
• Carolina Sleep Medicine, Inc.
• Carolinas Pain Institute, PA
• Litha Charles Carpenter, M.ED., LCMHCS
• Stacey L. Carpenter, AGPCNP-BC
• Susan King Carpenter, MS, LPCA
• Vickie Lynn Carpenter
• Melissa Carrillo
• Lauren E Carroll, DPT

• Mental Health Counselor in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.