Active NPI
Therapeutic Services of Tracy Carter, M.S., L.C.P.C., L.L.C.
- Professional Counselor
- Severna Park, MD
National Provider Identifier
1326105263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC2125
- Legal business name
- THERAPEUTIC SERVICES OF TRACY CARTER, M.S., L.C.P.C., L.L.C.
- Practice address
- 507 West Dr
Severna Park, MD 21146-2623 - Phone
- (410) 598-3186
- NPI assigned
- Jan 2, 2007
- 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
- Mrs. Tracy Ellen Carter, M.S.
- Title
- Licensed Professional Counselor
- Phone
- (410) 598-3186
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC2125 | MD | Primary |
Addresses
Primary practice location
507 West Dr
Severna Park, MD 21146-2623
Mailing address
58 Girth LN
Shenandoah Junction, WV 25442-4032
Phone (410) 598-3186
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274772 | Other | MD | COMPSYCH |
| 409607000 | Medicaid | MD | |
| 4969-0001 | Other | MD | BCBS FEDERAL |
| 100094884 | Other | MD | AMERICAN PSYCH SYSTEMS |
| 17PKTH | Other | MD | BCBS LOCAL |
| 4969-0001 | Other | MD | BCBS BLUECHOICE |
| 7607810 | Other | MD | AETNA |
| 391360 | Other | MD | MHN |
National Provider Directory
National Provider DirectoryLocations
507 West Dr
Severna Park, MD 21146
Phone (410) 266-0070
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Martinsburg, WV
- NPI 1114961141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304985600000",
"number": "1326105263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 GIRTH LN",
"city": "SHENANDOAH JUNCTION",
"state": "WV",
"postal_code": "254424032",
"telephone_number": "410-598-3186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 WEST DR",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211462623",
"telephone_number": "410-598-3186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPEUTIC SERVICES OF TRACY CARTER, M.S., L.C.P.C., L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2011-05-10",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "ELLEN",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "410-598-3186",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC2125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "274772",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "409607000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FEDERAL",
"identifier": "4969-0001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN PSYCH SYSTEMS",
"identifier": "100094884",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS LOCAL",
"identifier": "17PKTH",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS BLUECHOICE",
"identifier": "4969-0001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7607810",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "391360",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.