Active NPI
Vincent Carter
- Mental Health Counselor
- Philadelphia, PA
National Provider Identifier
1477328847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2506 S Broad St
Philadelphia, PA 19145-4639 - Phone
- (215) 845-5869
- NPI assigned
- Nov 16, 2023
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
2506 S Broad St
Philadelphia, PA 19145-4639
Mailing address
2506 S Broad St
Philadelphia, PA 19145-4639
Other practice location 1
756 Bennington Rd
Folcroft, PA 19032-1604
Phone (215) 479-1918
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enspire Consulting Group.LLC | Mental Health | Current | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1477328847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2506 S BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191454639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2506 S BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191454639",
"telephone_number": "215-845-5869"
}
],
"practiceLocations": [
{
"address_1": "756 Bennington Rd",
"address_purpose": "LOCATION",
"city": "Folcroft",
"state": "PA",
"postal_code": "190321604",
"country_code": "US",
"telephone_number": "215-479-1918",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "VINCENT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-16",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.