Active NPI
Tracy Carter, LPC
- Professional Counselor
- Leesburg, VA
National Provider Identifier
1750308508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701003873
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 832788000 | Other | VA | MAGELLAN |
| 010207436 | Medicaid | VA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701003873 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tracy Carter LLC | Current | Accepting new patients | |
| Loudoun Counseling Services | Professional | Current | 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.
-
- Professional Counselor
- Leesburg, VA
- NPI 1225809718
-
- Mental Health Counselor
- Purcellville, VA
- NPI 1073123089
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.