Active NPI
Angela Ruth Carter, DNP, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
National Provider Identifier
1356164552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209034537
- Practice address
- 30 N Michigan Ave Ste 424
Chicago, IL 60602-3844 - Phone
- (872) 274-4344
- Fax
- (866) 671-9991
- NPI assigned
- Nov 5, 2024
- Last updated
- Aug 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.512483 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209034537 | IL | Primary |
Addresses
Primary practice location
30 N Michigan Ave Ste 424
Chicago, IL 60602-3844
Mailing address
30 N Michigan Ave Ste 424
Chicago, IL 60602-3844
Phone (872) 274-4344
Other practice location 1
3209 N Lakewood Ave
Chicago, IL 60657-3215
Phone (312) 279-9981
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mindbodycoop.angelacarter@147350.advancedmd-direct.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 041.512483 | IL | MD | Registered Nurse |
| 209034537 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Body Co-Op | Psychiatric/Mental Health | Past | Accepting new patients |
| Mind Body Co-Op | Registered Nurse | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
- NPI 1750668091
-
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
- NPI 1770174559
Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1356164552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE STE 424",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023844",
"telephone_number": "872-274-4344",
"fax_number": "866-671-9991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE STE 424",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023844",
"telephone_number": "872-274-4344",
"fax_number": "866-671-9991"
}
],
"practiceLocations": [
{
"address_1": "3209 N Lakewood Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606573215",
"country_code": "US",
"telephone_number": "312-279-9981",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "ANGELA",
"middle_name": "RUTH",
"name_prefix": "Dr.",
"credential": "DNP, APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-05",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.512483",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209034537",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mindbodycoop.angelacarter@147350.advancedmd-direct.com",
"affiliation": "N",
"endpointDescription": "Angela Carter PMHPN-BC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "30 N Michigan Ave Ste 424",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606023844",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.