Individual provider Active NPI

Garren Jerome Carter, L.P.C.-MHSP, N.C.C

  • Mental Health Counselor
  • Goodlettsville, TN
National Provider Identifier
1508048166
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC0000002875 Issued in TN
Practice address
450 Professional Park Dr
Goodlettsville, TN 37072-2180
Phone
(615) 330-7059
NPI assigned
Dec 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC0000002875 TN Primary
Mental Health Counselor 101YM0800X 3549 NC

Addresses

Primary practice location

450 Professional Park Dr
Goodlettsville, TN 37072-2180

Mailing address

1058 Addington Rd
Hendersonville, TN 37075-1728
Phone (615) 330-7059

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

State licenses

LicenseStateTypeSpecialty
LPC0000002875TNMDMental Health Counselor
3549NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1508048166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 ADDINGTON RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751728",
            "telephone_number": "615-330-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PROFESSIONAL PARK DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722180",
            "telephone_number": "615-330-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "GARREN",
        "middle_name": "JEROME",
        "name_prefix": "Mr.",
        "credential": "L.P.C.-MHSP, N.C.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LPC0000002875",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "3549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.