Individual provider Active NPI

Brittany Carter, LPC

  • Mental Health Counselor
  • Bend, OR
National Provider Identifier
1457903353
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4443 Issued in OR
Practice address
835 NW Bond St Ste 100
Bend, OR 97703-2792
Phone
(757) 572-7327
NPI assigned
Jul 10, 2019
Last updated
Jul 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C4443 OR Primary

Addresses

Primary practice location

835 NW Bond St Ste 100
Bend, OR 97703-2792

Mailing address

1820 NE 104TH Ave Apt 6
Portland, OR 97220-3819

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BC@skylinerecoverybend.com

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
C4443ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phillips Pediatrics PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bc@skylinerecoverybend.com

Organizations & group practices 1

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": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1457903353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 NE 104TH AVE APT 6",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 NW BOND ST STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032792",
            "telephone_number": "757-572-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "BRITTANY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BC@skylinerecoverybend.com",
            "affiliation": "N",
            "address_1": "835 NW Bond St Ste 100",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977032792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.