Individual provider Active NPI

Dorian Ray Carter, LPC

  • Mental Health Counselor
  • Sugar Land, TX
National Provider Identifier
1770077893
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
79402 Issued in TX
Practice address
54 Sugar Creek Center Blvd Ste 217
Sugar Land, TX 77478-4064
Phone
(134) 676-3801
NPI assigned
Jun 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 79402 TX Primary

Addresses

Primary practice location

54 Sugar Creek Center Blvd Ste 217
Sugar Land, TX 77478-4064

Mailing address

54 Sugar Creek Center Blvd Ste 217
Sugar Land, TX 77478-4064
Phone (134) 676-3801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240205003662 TX Practitioner - Mental Health Counselor 4880037027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

54 Sugar Creek Ctr Blvd
Suite 217
Sugar Land, TX 77478-4064
Phone (346) 763-8016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
79402TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dorian Carter Counseling Services PLLC Single Specialty CurrentSince Nov 17, 2024 Accepting new patients
Vcounselors PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

54 Sugar Creek Center Blvd
Ste 217
Sugar Land, TX 77478
Phone (346) 763-8016

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1770077893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SUGAR CREEK CENTER BLVD STE 217",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784064",
            "telephone_number": "134-676-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SUGAR CREEK CENTER BLVD STE 217",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784064",
            "telephone_number": "134-676-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "DORIAN",
        "middle_name": "RAY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "79402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.