Individual provider Active NPI

Luke E Carter, MA, PSY.D.

  • Clinical Psychologist
  • Wichita, KS
National Provider Identifier
1427238682
Registry record updated Mar 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
T-LP1693 Issued in KS
Practice address
4601 E Douglas Ave Ste 207
Wichita, KS 67218-1032
Phone
(316) 337-5556
Fax
(316) 337-5531
NPI assigned
Nov 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X T-LP1693 KS Primary

Addresses

Primary practice location

4601 E Douglas Ave Ste 207
Wichita, KS 67218-1032

Mailing address

4601 E Douglas Ave Ste 207
Wichita, KS 67218-1032
Phone (316) 337-5556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090903000554 KS Practitioner - Clinical Psychologist 3274688890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4601 E Douglas Ave
Suite 207
Wichita, KS 67218-1032
Phone (316) 337-5556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
T-LP1693KSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Luke Carter, LP, LLC CurrentSince Jul 1, 2020 Accepting new patients
South Central Mental Health Counseling Center, Inc. PastSince Dec 3, 2023 Accepting new patients
South Central Mental Health Counseling Center Inc Past Accepting new patients
South Central Mental Health Counseling Center, Inc. Clinical Past Accepting new patients

Locations

4601 E Douglas Ave
Ste 207
Wichita, KS 67218
Phone (316) 337-5556

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616889600000",
    "number": "1427238682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 E DOUGLAS AVE STE 207",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181032",
            "telephone_number": "316-337-5556",
            "fax_number": "316-337-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 E DOUGLAS AVE STE 207",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181032",
            "telephone_number": "316-337-5556",
            "fax_number": "316-337-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "LUKE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MA, PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "T-LP1693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.