Individual provider Active NPI

Jeri Grier Carter, MS, LMHCA

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1316662117
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A18048 Issued in NC
Practice address
11601 Reames Rd Ste a
Charlotte, NC 28269-7662
Phone
(980) 833-3606
NPI assigned
Oct 5, 2022
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A18048 NC Primary

Addresses

Primary practice location

11601 Reames Rd Ste a
Charlotte, NC 28269-7662

Mailing address

7409 Derby Meadows CT
Charlotte, NC 28216-7758
Phone (980) 833-3606

Other practice location 1

5108 Reagan Dr Ste 14
Charlotte, NC 28206-1395
Phone (704) 332-8787

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
A18048NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ebl Counseling and Therapeutic Services PLLC CurrentSince Nov 20, 2022 Accepting new patients

Locations

11601 Reames Rd
Ste A
Charlotte, NC 28269
Phone (980) 833-3606

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1316662117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 DERBY MEADOWS CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282167758",
            "telephone_number": "980-833-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 REAMES RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697662",
            "telephone_number": "980-833-3606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5108 Reagan Dr Ste 14",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282061395",
            "country_code": "US",
            "telephone_number": "704-332-8787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JERI",
        "middle_name": "GRIER",
        "name_prefix": "Mrs.",
        "credential": "MS, LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A18048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.