Individual provider Active NPI

Jeannette T Carter, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Greensboro, NC
National Provider Identifier
1720735491
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCAS-24132 Issued in NC
Practice address
3200 Northline Ave Ste 132
Greensboro, NC 27408-7600
Phone
(336) 676-6863
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-24132 NC Primary

Addresses

Primary practice location

3200 Northline Ave Ste 132
Greensboro, NC 27408-7600

Mailing address

3200 Northline Ave Ste 132
Greensboro, NC 27408-7600
Phone (336) 504-7064

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jeannette.carter@monarchnc.org Health Information Exchange (HIE)
Direct Messaging Address jeannette.carter@monarchnc.org Health Information Exchange (HIE)

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
LCAS-24132NCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1720735491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 NORTHLINE AVE STE 132",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087600",
            "telephone_number": "336-504-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 NORTHLINE AVE STE 132",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087600",
            "telephone_number": "336-676-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JEANNETTE",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-24132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeannette.carter@monarchnc.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3200 Northline Ave Ste 132",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274087600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeannette.carter@monarchnc.org",
            "affiliation": "N",
            "endpointDescription": "Verbal, written and fax information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Written, verbal and fax",
            "address_1": "3200 Northline Ave Ste 132",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274087600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.