Individual provider Active NPI

Todd Allen Carter, LPCC-S, LICDC

  • Professional Counselor
  • Columbus, OH
National Provider Identifier
1770945388
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E-0002706 Issued in OH
Practice address
620 E Broad St Ste 301
Columbus, OH 43215
Phone
(614) 914-6690
Fax
(614) 745-3344
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E-0002706 OH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 991675 OH

Addresses

Primary practice location

620 E Broad St Ste 301
Columbus, OH 43215

Mailing address

620 E Broad St Ste 301
Columbus, OH 43215-4037
Phone (614) 914-6690

Other practice location 1

350 E 1st Ave Ste 100C
Columbus, OH 43201-3792
Phone (614) 619-3029

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tcarter@affirmationstherapy.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240417000346 OH Practitioner - Mental Health Counselor 4981043478 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
991675OHMDAddiction (Substance Use Disorder) Counselor
E-0002706OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carters Connections Counseling LLC Professional CurrentSince Oct 1, 2024 Accepting new patients

Locations

350 E 1st Ave
Ste 100C
Columbus, OH 43201
Phone (614) 619-3029

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.

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1770945388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E BROAD ST STE 301",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154037",
            "telephone_number": "614-914-6690",
            "fax_number": "614-745-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E BROAD ST STE 301",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43215",
            "telephone_number": "614-914-6690",
            "fax_number": "614-745-3344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 E 1st Ave Ste 100C",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432013792",
            "country_code": "US",
            "telephone_number": "614-619-3029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TODD",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LPCC-S, LICDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E-0002706",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "991675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tcarter@affirmationstherapy.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "620 E Broad St Ste 301",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432154037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.