Individual provider Active NPI

La Keita Deneen Carter, LICENSED PSYCHOLOGIS

  • Psychologist
  • Owings Mills, MD
National Provider Identifier
1457687659
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
04993 Issued in MD
Practice address
9419 Common Brook Rd Ste 208
Owings Mills, MD 21117-7570
Phone
(410) 864-0211
Fax
(410) 864-0211
NPI assigned
Oct 22, 2009
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 04993 MD Primary

Addresses

Primary practice location

9419 Common Brook Rd Ste 208
Owings Mills, MD 21117-7570

Mailing address

9419 Common Brook Rd Ste 208
Owings Mills, MD 21117-7570
Phone (410) 864-0211

Other identifiers 1

IdentifierTypeStateIssuer
212150600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20160401001952 MD Practitioner - Clinical Psychologist 5597062521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Institute for Healing LLCGroup PAC ID 9436456464, 2 clinicians

Practice addresses (Care Compare)

9419 Common Brook Rd
Suite 208
Owings Mills, MD 21117-7570
Phone (410) 864-0211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Healing LLC Past Accepting new patients
Institute for Healing LLC Past Accepting new patients
Institute for Healing, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1457687659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9419 COMMON BROOK RD STE 208",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211177570",
            "telephone_number": "410-864-0211",
            "fax_number": "410-618-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9419 COMMON BROOK RD STE 208",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211177570",
            "telephone_number": "410-864-0211",
            "fax_number": "410-864-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "LA KEITA",
        "middle_name": "DENEEN",
        "name_prefix": "Dr.",
        "credential": "LICENSED PSYCHOLOGIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "04993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212150600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.