Antonia Carter, M.a., LMHC, P.a.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ANTONIA CARTER, M.A., LMHC, P.A.

Practice address

623 Oak St
Green Cove Springs, FL 32043-4313

Phone

(904) 531-9752

Fax

(904) 531-5149

NPI assigned

Dec 18, 2015

Organization subpart

No

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

Authorized official

Name

Antonia Carter, M.A., LMHC, P.A.

Title

Owner

Phone

(904) 864-0367

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1679938583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 OAK ST",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320434313",
            "telephone_number": "904-531-9752",
            "fax_number": "904-531-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 OAK ST",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320434313",
            "telephone_number": "904-531-9752",
            "fax_number": "904-531-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIA CARTER, M.A., LMHC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ANTONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-864-0367",
        "authorized_official_credential": "M.A., LMHC, P.A."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.