Organization 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
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC2125 Issued in MD
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

Updated by the provider on May 10, 2011

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.NPI 1114961141
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
274772OtherMDCOMPSYCH
409607000MedicaidMD
4969-0001OtherMDBCBS FEDERAL
100094884OtherMDAMERICAN PSYCH SYSTEMS
17PKTHOtherMDBCBS LOCAL
4969-0001OtherMDBCBS BLUECHOICE
7607810OtherMDAETNA
391360OtherMDMHN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.