NPIMap

Organization Active NPI

Carter Collaborative Counseling

  • Professional Counselor
  • Olive Branch, MS
National Provider Identifier
1508498734
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CARTER COLLABORATIVE COUNSELING
Practice address
6915 Crumpler Blvd Ste a
Olive Branch, MS 38654-1907
Phone
(731) 577-1916
NPI assigned
Feb 5, 2020
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Heather Carter, LPC-SNPI 1134695950
Title
Owner, Therapist
Phone
(731) 577-1916

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 Counselor 101YP2500X NU Primary

Addresses

Primary practice location

6915 Crumpler Blvd Ste a
Olive Branch, MS 38654-1907

Mailing address

6915 Crumpler Blvd Ste a
Olive Branch, MS 38654-1907

National Provider Directory

National Provider Directory

Locations

6915 Crumpler Blvd
Ste A
Olive Branch, MS 38654
Phone (601) 500-1132

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508498734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 CRUMPLER BLVD STE A",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 CRUMPLER BLVD STE A",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541907",
            "telephone_number": "731-577-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER COLLABORATIVE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "731-577-1916",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.