Individual provider Active NPI

Carla Harper, LPC

  • Professional Counselor
  • Old Saybrook, CT
National Provider Identifier
1609184852
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2703 Issued in CT
Practice address
97 Elm St
Old Saybrook, CT 06475-4144
Phone
(860) 339-6330
NPI assigned
Sep 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2703 CT Primary

Addresses

Primary practice location

97 Elm St
Old Saybrook, CT 06475-4144

Mailing address

8 Lena Dr
Uncasville, CT 06382-1433
Phone (530) 356-6968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240502002035 CT Practitioner - Mental Health Counselor 4082054499 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2703CTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carla Harper, LPC, LLC Professional CurrentSince Jan 1, 2025 Accepting new patients
Mental Health Specialty Group PA Professional CurrentSince Oct 1, 2025 Accepting new patients

Locations

100 Pearl St
Hartford, CT 06103
Phone (860) 969-1463

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1609184852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LENA DR",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063821433",
            "telephone_number": "530-356-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 ELM ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754144",
            "telephone_number": "860-339-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "CARLA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "2703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

Verify at the official NPI Registry.