Individual provider Active NPI

Tracy Carter, LPC

  • Professional Counselor
  • Leesburg, VA
National Provider Identifier
1750308508
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701003873 Issued in VA
Practice address
17 Royal St SW Ste 201
Leesburg, VA 20175-2912
Phone
(703) 303-5946
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701003873 VA Primary

Addresses

Primary practice location

17 Royal St SW Ste 201
Leesburg, VA 20175-2912

Mailing address

17628 Stonegait CT
Round Hill, VA 20141-2264
Phone (703) 220-8563

Other practice location 1

17628 Stonegait Ct
Round Hill, VA 20141-2264
Phone (703) 220-8563

Other practice location 2

1602 Village Market Blvd SE
Leesburg, VA 20175-5105
Phone (703) 303-5946

Other identifiers 2

IdentifierTypeStateIssuer
832788000OtherVAMAGELLAN
010207436MedicaidVA

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
0701003873VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tracy Carter LLC CurrentSince Aug 9, 2020 Accepting new patients
Loudoun Counseling Services Professional CurrentSince Jan 14, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1750308508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17628 STONEGAIT CT",
            "city": "ROUND HILL",
            "state": "VA",
            "postal_code": "201412264",
            "telephone_number": "703-220-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ROYAL ST SW STE 201",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201752912",
            "telephone_number": "703-303-5946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17628 Stonegait Ct",
            "address_purpose": "LOCATION",
            "city": "Round Hill",
            "state": "VA",
            "postal_code": "201412264",
            "country_code": "US",
            "telephone_number": "703-220-8563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1602 Village Market Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201755105",
            "country_code": "US",
            "telephone_number": "703-303-5946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TRACY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "832788000",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010207436",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.