Latwan Carpenter, DR. DHS QMHPA MATC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1717 Holladay St
Portsmouth, VA 23704-2015

Phone

(757) 920-2765

NPI assigned

Sep 25, 2023

Sex

Female

Sole proprietor

Yes

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

Enrolled in VA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Travcare LLC

  • Addiction (Substance Use Disorder) Counselor
  • Portsmouth, VA
  • NPI 1407539745
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1336928787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 HOLLADAY ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042015",
            "telephone_number": "757-966-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 HOLLADAY ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042015",
            "telephone_number": "757-920-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "LATWAN",
        "credential": "DR. DHS QMHPA MATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring With Love Home Healthcare LLC
• Caring With Love Home Healthcare LLC
• Christina A Carmody, PSY.D.
• Amy Carpenter
• David Thomas Carpenter, M.D.
• Tia Carpenter, CSFA
• Donald Russell Carr Jr., MD
• Elizabeth Ann Carr, D.O.
• Matthew Joseph Carr, M.D.
• Crystal Lyne Carradine, DO

• Addiction (Substance Use Disorder) Counselor in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.