Anne Carptener PHD PLC
Organization Active NPI Counseling Psychologist · Saint Joseph, MI
NPI 1760016976 · NPPES record last updated Feb 26, 2020
Key facts
- NPI
- 1760016976
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Counseling Psychologist 103TC1900X
- Legal business name
- ANNE CARPTENER PHD PLC
- Practice address
- 3408 Niles Rd
Saint Joseph, MI 49085-8628 - Phone
- (269) 429-3324
- Fax
- (269) 429-3323
- NPI assigned
- Feb 26, 2020
- Organization subpart
- No
Authorized official
- Name
- Anne Carpenter
- Title
- Owner
- Phone
- (269) 429-3324
Practitioners 1
-
Anne Carpenter, PHD, PLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200821000936 | MI | Part B Supplier - Clinic/Group Practice | 7719303627 |
Receives reassigned benefits from 1 practitioner Practice locations: Saint Joseph, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist |
103TC1900X | Yes |
Addresses
Primary practice location
3408 Niles Rd
Saint Joseph, MI 49085-8628
Mailing address
3408 Niles Rd
Saint Joseph, MI 49085-8628
Other names
- Trilogy Counseling
Other providers in Saint Joseph, MI
- Andrea Godawa DDS PLLC
- Jennifer Andree
- James Michael Andrews
- Kathleen M Andries
- Anjana Gupta, DDS, PLLC
- Apex Physical Therapy & Wellness LLC
- Bijan Jordan Arab
- Arcadia Family Health PLLC
- Arcadia Home Oxygen & Medical Equipment
- Suzanne Arlene Arendt
All providers in Saint Joseph, MI · Counseling Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.