Carr Vista Health Services, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CARR VISTA HEALTH SERVICES, PLLC

Practice address

204 Muirs Chapel Rd Ste 118
Greensboro, NC 27410-6173

Phone

(336) 508-0714

NPI assigned

Jul 15, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Marvin Theadore Keaton III, MA, LMHCS, LCAS, CCSNPI 1942518048

Title

Owner

Phone

(336) 508-0714

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marvin Theadore Keaton III, MA, LCMHCS, LCAS,CSI

  • Professional Counselor
  • Pleasant Garden, NC
  • NPI 1942518048

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1508786187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 HOCKETT COUNTRY LN",
            "city": "PLEASANT GARDEN",
            "state": "NC",
            "postal_code": "273138262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MUIRS CHAPEL RD STE 118",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274106173",
            "telephone_number": "336-508-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARR VISTA HEALTH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "KEATON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "THEADORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-508-0714",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MA, LMHCS, LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Mathis Carothers
• David Roy Carpenter
• Karen Marie Carpenter, LPC
• Lindalyn Carpenter, PHYD
• Rhonda Renee Pack Carpenter
• Angela Carr, SLP
• Destiny Carr
• Holly Carr, L.AC.
• Mallory Carr
• Stephen P Carr, LCMHC

• Mental Health Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.