Active NPI
Carter Baxter Peterson, LPC
- Professional Counselor
- San Marcos, TX
National Provider Identifier
1962111476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 85268
- Practice address
- 2003 Medical Pkwy Ste C
San Marcos, TX 78666-7554 - Phone
- (830) 730-6090
- NPI assigned
- Nov 23, 2022
- Last updated
- Nov 28, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 85268 | TX | Primary |
Addresses
Primary practice location
2003 Medical Pkwy Ste C
San Marcos, TX 78666-7554
Mailing address
848 Highland Vis
New Braunfels, TX 78130-6839
Phone (281) 723-1493
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 |
|---|---|---|---|
| 85268 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inmindout Emotional Wellness Center, LLC | Professional | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1962111476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "848 HIGHLAND VIS",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781306839",
"telephone_number": "281-723-1493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 MEDICAL PKWY STE C",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786667554",
"telephone_number": "830-730-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "CARTER",
"middle_name": "BAXTER",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-23",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "85268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.