Active NPI
Mandy Michelle Carr, LPC
- Mental Health Counselor
- North Charleston, SC
National Provider Identifier
1821414657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6638
- Practice address
- 3896 Leeds Ave Ste 202
North Charleston, SC 29405-7479 - Phone
- (843) 642-7572
- Fax
- (843) 405-1325
- NPI assigned
- Mar 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 12060 | FL | |
| Mental Health Counselor | 101YM0800X | 6638 | SC | Primary |
Addresses
Primary practice location
3896 Leeds Ave Ste 202
North Charleston, SC 29405-7479
Mailing address
3896 Leeds Ave Ste 202
North Charleston, SC 29405-7479
Phone (843) 642-7572
Other practice location 1
1437 S Belcher Rd
Clearwater, FL 33764-2829
Phone (727) 524-4464 ext. 1259
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mandycarrcounseling.com |
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 |
|---|---|---|---|
| MH 12060 | FL | MD | Mental Health Counselor |
| 6638 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1821414657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3896 LEEDS AVE STE 202",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294057479",
"telephone_number": "843-642-7572",
"fax_number": "843-405-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3896 LEEDS AVE STE 202",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294057479",
"telephone_number": "843-642-7572",
"fax_number": "843-405-1325"
}
],
"practiceLocations": [
{
"address_1": "1437 S Belcher Rd",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337642829",
"country_code": "US",
"telephone_number": "727-524-4464 x1259",
"fax_number": "727-210-6945",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARR",
"first_name": "MANDY",
"middle_name": "MICHELLE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-18",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 12060",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "6638",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mandycarrcounseling.com",
"affiliation": "N",
"endpointDescription": "website",
"address_1": "3896 Leeds Ave Ste 202",
"city": "North Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294057479",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.