Winfred Carter

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2439 Issued in CA

Practice address

604 Broadway St
Vallejo, CA 94590-3323

Phone

(707) 558-6432

Fax

(707) 558-8047

NPI assigned

Oct 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bi-Bett

  dba Recovery Connection

  • Substance Abuse Rehabilitation Facility
  • Vallejo, CA
  • NPI 1851563159
  NPD (past)

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1740469949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 BROADWAY ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903323",
            "telephone_number": "707-558-6432",
            "fax_number": "707-558-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 BROADWAY ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903323",
            "telephone_number": "707-558-6432",
            "fax_number": "707-558-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "WINFRED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "2439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG MEDICAL",
            "identifier": "4825",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneston Carr, MD
• Todd A Carrell, MD
• Gloria F Carroll, L.C.S.W.
• Desmond Earl Carson, M.D.
• Sabrina Carter
• Alexis Brianne Cartwright
• Nia Aisha Carty
• Scott Casey, MD
• John Joseph Casseday, PHARMD
• Bianca Castellanos

• Addiction (Substance Use Disorder) Counselor in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.