Organization Active NPI

Integrative Counseling Center LLC

  • Professional Counselor
  • Little Rock, AR
National Provider Identifier
1497210199
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
INTEGRATIVE COUNSELING CENTER LLC
Practice address
204 Executive CT Ste 110
Little Rock, AR 72205-4531
Phone
(501) 416-5263
Fax
(501) 725-8952
NPI assigned
Feb 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Candace CarterNPI 1912298811
Title
Therapist/Co-Owner
Phone
(501) 416-4356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

204 Executive CT Ste 110
Little Rock, AR 72205-4531

Mailing address

204 Executive CT Ste 110
Little Rock, AR 72205-4531
Phone (501) 416-5263

Other practice location 1

204 Executive Ct Ste 110
Little Rock, AR 72205-4531
Phone (501) 416-5263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250107004194 AR Part B Supplier - Clinic/Group Practice 5597293316 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

10515 W Markham St
Ste D3
Little Rock, AR 72205

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1497210199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 EXECUTIVE CT STE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054531",
            "telephone_number": "501-416-5263",
            "fax_number": "501-725-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 EXECUTIVE CT STE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054531",
            "telephone_number": "501-416-5263",
            "fax_number": "501-725-8952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Executive Ct Ste 110",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722054531",
            "country_code": "US",
            "telephone_number": "501-416-5263",
            "fax_number": "501-725-8952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATIVE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "THERAPIST/CO-OWNER",
        "authorized_official_telephone_number": "501-416-4356"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.