Organization Active NPI

Debra Ann Carter LPCC LLC

  • Counseling Psychologist
  • Albuquerque, NM
National Provider Identifier
1952901647
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
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

Updated by the provider on Oct 30, 2020

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)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20240124001243 NM Part B Supplier - Clinic/Group Practice 2567815764 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.