Active NPI
Ayi Renee Carter, CADC II
- Addiction (Substance Use Disorder) Counselor
- Sacramento, CA
National Provider Identifier
1346480894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 03-077429
- Practice address
- 4049 Miller Way
Sacramento, CA 95817-1332 - Phone
- (916) 451-9312
- Fax
- (916) 451-9312
- NPI assigned
- Feb 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 03-077429 | CA | Primary |
Addresses
Primary practice location
4049 Miller Way
Sacramento, CA 95817-1332
Mailing address
4049 Miller Way
Sacramento, CA 95817-1332
Phone (916) 451-9312
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03-077429 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1346480894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4049 MILLER WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171332",
"telephone_number": "916-451-9312",
"fax_number": "916-451-9312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4049 MILLER WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171332",
"telephone_number": "916-451-9312",
"fax_number": "916-451-9312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "AYI",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "CADC II",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-24",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "03-077429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.