Individual provider Active NPI

Wayne D Carter, CERTIFIED COUNSELOR

  • Mental Health Counselor
  • Tacoma, WA
National Provider Identifier
1619368016
Registry record updated Feb 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CL60160531 Issued in WA
Practice address
240 S Stadium Way
Suite 101
Tacoma, WA 98402-4802
Phone
(253) 310-2667
NPI assigned
Feb 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CL60160531 WA Primary

Addresses

Primary practice location

240 S Stadium Way
Suite 101
Tacoma, WA 98402-4802

Mailing address

2602 S 38TH St
PMB 163
Tacoma, WA 98409-7303
Phone (253) 310-2667

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
CL60160531WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1423267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423267200000",
    "number": "1619368016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 S 38TH ST",
            "address_2": "PMB 163",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097303",
            "telephone_number": "253-310-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S STADIUM WAY",
            "address_2": "SUITE 101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024802",
            "telephone_number": "253-310-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "WAYNE",
        "middle_name": "D",
        "credential": "CERTIFIED COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-07",
        "last_updated": "2015-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CL60160531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2015; 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.