Individual provider Active NPI

Debra Ann Carter, LPCC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1821227455
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CCMH146601 Issued in NM
Practice address
3321B Candelaria Rd NE
Ste 402
Albuquerque, NM 87107-1966
Phone
(505) 205-0763
Fax
(505) 554-3435
NPI assigned
Jul 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CCMH146601 NM Primary

Addresses

Primary practice location

3321B Candelaria Rd NE
Ste 402
Albuquerque, NM 87107-1966

Mailing address

621 Madeira Dr SE
Albuquerque, NM 87108-3613
Phone (505) 205-0763

Other identifiers 1

IdentifierTypeStateIssuer
11578777MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240207000209 NM Practitioner - Mental Health Counselor 1355794561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3321 B Candelaria Rd NE
Suite 402
Albuquerque, NM 87107-1908
Phone (505) 205-0763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CCMH146601NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Debra Ann Carter LPCC LLC CurrentSince Dec 18, 2023 Accepting new patients

Locations

3321 Candelaria Rd NE
Ste 402
Albuquerque, NM 87107
Phone (505) 205-0763

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": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1821227455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 MADEIRA DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871083613",
            "telephone_number": "505-205-0763",
            "fax_number": "505-554-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321B CANDELARIA RD NE",
            "address_2": "STE 402",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071966",
            "telephone_number": "505-205-0763",
            "fax_number": "505-554-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH146601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11578777",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.