Active NPI
Carlos Proctor, MAMAFT
- Professional Counselor
- Concord, NC
National Provider Identifier
1851856181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A14801
- Practice address
- 2324 Concord Lake Rd
Concord, NC 28025-2814 - Phone
- (704) 918-1343
- NPI assigned
- Jan 31, 2019
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A14801 | NC | Primary |
Addresses
Primary practice location
2324 Concord Lake Rd
Concord, NC 28025-2814
Mailing address
2324 Concord Lake Rd
Concord, NC 28025-2814
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 |
|---|---|---|---|
| A14801 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True Aspiration Counseling PLLC | Professional | Current | Accepting new patients |
Interoperability endpoints
- carlos.proctor@west-counseling.direct.kno2fy.com
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": "1548892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1851856181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2324 CONCORD LAKE RD",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2324 CONCORD LAKE RD",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252814",
"telephone_number": "704-918-1343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCTOR",
"first_name": "CARLOS",
"credential": "MAMAFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-31",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A14801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.