Active NPI
Georgiana Carpenter, LPC
- Mental Health Counselor
- Pantego, TX
National Provider Identifier
1407320682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 74255
- Practice address
- 3617 W Pioneer Pkwy
Pantego, TX 76013-4504 - Phone
- (682) 206-0569
- NPI assigned
- Jan 21, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 74255 | TX | Primary |
Addresses
Primary practice location
3617 W Pioneer Pkwy
Pantego, TX 76013-4504
Mailing address
3617 W Pioneer Pkwy
Pantego, TX 76013-4504
Other names 1
- Georgiana Paine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250409001427 | TX | Practitioner - Mental Health Counselor | 8820512007 | Practice locations: Pantego, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1407320682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 W PIONEER PKWY",
"city": "PANTEGO",
"state": "TX",
"postal_code": "760134504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3617 W PIONEER PKWY",
"city": "PANTEGO",
"state": "TX",
"postal_code": "760134504",
"telephone_number": "682-206-0569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "GEORGIANA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-21",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "74255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GEORGIANA",
"last_name": "PAINE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pantego, TX
- Jasmin R Burris, LMT
- Elexis Burroughs
- Valencia Lashawn Campbell-Chapin, ED.D
- Capuli Chiropractic Healthcare PC
- Monica Carnera
- Erika Castillo-Emshoff, LPC
- Cec Pantego ER Physicians PLLC
- Centerwell Senior Primary Care (TX) PA (Centerwell Senior Primary Care-Arlington)
- Certiscreen Health Lab, LLC
- Cliff Haven Adult Day Health Care Inc (Arlington Adult Day Health Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.