Active NPI
David Jeffery Carter, LIMHP, LPC, LMHP
- Mental Health Counselor
- Overland Park, KS
National Provider Identifier
1770526253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 179
- Practice address
- 12022 Blue Valley Pkwy Ste 1002
Overland Park, KS 66213-2647 - Phone
- (913) 390-3172
- Fax
- (402) 502-2513
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 179 | NE | Primary |
Addresses
Primary practice location
12022 Blue Valley Pkwy Ste 1002
Overland Park, KS 66213-2647
Mailing address
16516 Lucille St
Overland Park, KS 66221-7960
Phone (913) 390-3172
Other practice location 1
8011 Chicago St
Omaha, NE 68114-3533
Phone (402) 502-1716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104600000 | Medicaid | NE |
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 |
|---|---|---|---|
| 179 | NE | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carter Relationship Development & Counseling Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Omaha, NE
- NPI 1558506212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1770526253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16516 LUCILLE ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662217960",
"telephone_number": "913-390-3172",
"fax_number": "402-502-2513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12022 BLUE VALLEY PKWY STE 1002",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662132647",
"telephone_number": "913-390-3172",
"fax_number": "402-502-2513"
}
],
"practiceLocations": [
{
"address_1": "8011 Chicago St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681143533",
"country_code": "US",
"telephone_number": "402-502-1716",
"fax_number": "402-502-2513",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "DAVID",
"middle_name": "JEFFERY",
"name_prefix": "Mr.",
"credential": "LIMHP, LPC, LMHP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104600000",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.