Vicki Carter, PSYD, LPC
Individual provider Active NPI Mental Health Counselor · Newport, RI
NPI 1649428673 · NPPES record last updated May 6, 2020
Key facts
- NPI
- 1649428673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MHC01119 (RI)
- Practice address
- 6 John H Chafee Blvd
Newport, RI 02840-1034 - Phone
- (401) 848-2160
- NPI assigned
- Sep 3, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CT, DC
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241003000564 | CT | Practitioner - Mental Health Counselor | 8426589367 | Reassigns benefits to 1 organization |
| I20241221000044 | DC | Practitioner - Mental Health Counselor | 8426589367 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC01119 | RI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current |
Accepting new patients |
Locations
100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2697 | CT | |
| Psychologist | 103T00000X | |||
| Mental Health Counselor | 101YM0800X | MHC01119 | RI | Yes |
Addresses
Primary practice location
6 John H Chafee Blvd
Newport, RI 02840-1034
Mailing address
610 Wampanoag TRL
Riverside, RI 02915-1504
Phone (401) 431-9870
Other practice location 1
1 Shaws Cv
New London, CT 06320-4902
Phone (860) 447-8304
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004236338 | Medicaid | CT |
Other providers in Newport, RI
- Kathryn Caragianis
- Kayla Carey
- Richard H Carlson
- Gail E Carreau
- Amanda Beth Carsten
- Isabella Casamassima
- Catherine Cassata
- Julia Ann Castle
- Nicholas Kenneth Catallozzi
- Joni Stuart Cazeau
All providers in Newport, RI · Mental Health Counselor in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.