Active NPI
Carter Coaching, Counseling, & Consulting LLC
- Clinical Social Worker
- Waterloo, IA
National Provider Identifier
1316745375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CARTER COACHING, COUNSELING, & CONSULTING LLC
- Practice address
- 302 Broadway St
Waterloo, IA 50703-5804 - Phone
- (319) 505-8188
- NPI assigned
- Mar 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Leann Carter, LISW
- Title
- Owner/Clinician
- Phone
- (319) 505-8188
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
302 Broadway St
Waterloo, IA 50703-5804
Mailing address
2002 City View St
Waterloo, IA 50707-2308
Other names 1
- Growth & Grief MVP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250709001815 | IA | Part B Supplier - Clinic/Group Practice | 5799299012 |
Receives reassigned benefits from 1 practitioner Practice locations: Waterloo, IA |
National Provider Directory
National Provider DirectoryLocations
302 Broadway St
Waterloo, IA 50703
Phone (319) 448-0004
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741132800000",
"number": "1316745375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 CITY VIEW ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507072308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 BROADWAY ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507035804",
"telephone_number": "319-505-8188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARTER COACHING, COUNSELING, & CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-05",
"last_updated": "2025-03-05",
"certification_date": "2025-02-26",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "LEANN",
"authorized_official_title_or_position": "OWNER/CLINICIAN",
"authorized_official_telephone_number": "319-505-8188",
"authorized_official_credential": "LISW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Growth & Grief MVP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.