Carlos Alfredo Garcia Jr., PLPC, NBCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2020042953 Issued in MO

Practice address

266 E Erie St Apt a
Springfield, MO 65807-5240

Phone

(573) 714-1405

NPI assigned

Jan 5, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southern Light Counseling

  • Professional Counselor
  • Springfield, MO
  • NPI 1891412797
  Medicare reassignment NPD

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1750979704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 E ERIE ST APT A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075240",
            "telephone_number": "573-714-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 E ERIE ST APT A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075240",
            "telephone_number": "573-714-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "CARLOS",
        "middle_name": "ALFREDO",
        "name_suffix": "Jr.",
        "credential": "PLPC, NBCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2020042953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Gamwell, PLPC
• Jennifer L Ganaway, MSW, LCSW
• Beverly Jo Gann, RNC,WHNP
• Lea M Gannaway, LPC
• James Ganus, MD
• Gene Estrada Garcia I
• Kristin Kline Garcia, MA, LPC
• Samir S. Garcia, M.D.
• Silvia Isabel Garcia, M.D.
• Stephen Eugene Garcia, M.D.

• Professional Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.