Individual provider Active NPI

Paulette Marie Carter, M ED, ABD

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1902082837
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3416 N Karlov Ave
Apt. #1
Chicago, IL 60641-4016
Phone
(312) 330-6675
Fax
(312) 926-4766
NPI assigned
Jan 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X IL Primary

Addresses

Primary practice location

3416 N Karlov Ave
Apt. #1
Chicago, IL 60641-4016

Mailing address

3416 N Karlov Ave
Apt. #1
Chicago, IL 60641-4016
Phone (312) 330-6675

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
180-006-221ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1902082837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 N KARLOV AVE",
            "address_2": "APT. #1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414016",
            "telephone_number": "312-330-6675",
            "fax_number": "312-926-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 N KARLOV AVE",
            "address_2": "APT. #1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414016",
            "telephone_number": "312-330-6675",
            "fax_number": "312-926-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "PAULETTE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "M ED, ABD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.