Active NPI
Debra Ann Carter LPCC LLC
- Counseling Psychologist
- Albuquerque, NM
National Provider Identifier
1952901647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Legal business name
- DEBRA ANN CARTER LPCC LLC
- Practice address
- 3321B Candelaria Rd NE Ste 402
Albuquerque, NM 87107-1908 - Phone
- (505) 205-0763
- NPI assigned
- Oct 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mari-Anne Chaney
- Title
- Office Manager
- Phone
- (505) 554-3435
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
3321B Candelaria Rd NE Ste 402
Albuquerque, NM 87107-1908
Mailing address
621 Madeira Dr SE
Albuquerque, NM 87108-3613
Phone (505) 205-0763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3321 Candelaria Rd NE
Ste 402
Albuquerque, NM 87107
Phone (505) 205-0763
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Albuquerque, NM
- NPI 1821227455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604016000000",
"number": "1952901647",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3321B CANDELARIA RD NE STE 402",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871071908",
"telephone_number": "505-205-0763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBRA ANN CARTER LPCC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-30",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A",
"authorized_official_last_name": "CHANEY",
"authorized_official_first_name": "MARI-ANNE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "505-554-3435"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.