James Carter, LCSW

Individual provider Active NPI Mental Health Counselor · Mayfield, KY

NPI 1598189151 · NPPES record last updated Dec 17, 2014

Key facts

NPI
1598189151
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
3852 (KY)
Practice address
1335 Rohrer Rd
Mayfield, KY 42066-8438
Phone
(270) 251-3666
Fax
(270) 251-3506
NPI assigned
Feb 18, 2014
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3852 KY Yes

Addresses

Primary practice location

1335 Rohrer Rd
Mayfield, KY 42066-8438

Mailing address

1391 Rohrer Rd
Mayfield, KY 42066-8438
Phone (270) 705-8715

Other identifiers

IdentifierTypeStateIssuer
7100284750MedicaidKY

Other providers in Mayfield, KY

All providers in Mayfield, KY · Mental Health Counselor in Kentucky

Sources for this page

Verify at the official NPI Registry.