Individual provider Active NPI

Twaina Manee Carpenter, LPC

  • Professional Counselor
  • Woodbridge, VA
National Provider Identifier
1942435342
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006579 Issued in VA
Practice address
4707 Still PL
Woodbridge, VA 22193-3012
Phone
(912) 622-3000
NPI assigned
May 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8872 NE
Professional Counselor 101YP2500X LPC007175 GA
Professional Counselor 101YP2500X 0701006579 VA Primary

Addresses

Primary practice location

4707 Still PL
Woodbridge, VA 22193-3012

Mailing address

2650 Jefferson Davis Hwy Unit 2352
Stafford, VA 22555-3691
Phone (912) 622-3000

Other practice location 1

2040 Reserve Ln
Augusta, GA 30907-6213
Phone (701) 330-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240419003572 VA Practitioner - Mental Health Counselor 6901245174 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC007175GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wishing Well Counseling Center, PLLC Mental Health CurrentSince Mar 1, 2024 Accepting new patients

Locations

4037 Taylor Rd
Ste A
Chesapeake, VA 23321
Phone (757) 483-1403

707 Gittings St
Ste 120
Suffolk, VA 23434
Phone (757) 514-3248

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": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1942435342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 JEFFERSON DAVIS HWY UNIT 2352",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225553691",
            "telephone_number": "912-622-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 STILL PL",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933012",
            "telephone_number": "912-622-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 Reserve Ln",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309076213",
            "country_code": "US",
            "telephone_number": "701-330-0505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "TWAINA",
        "middle_name": "MANEE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "8872",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007175",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.