Individual provider Active NPI

Taylor Marie Carter

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1982254678
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103747 Issued in TX
Practice address
4119 Montrose Blvd Ste 500
Houston, TX 77006-4970
Phone
(512) 956-6463
Fax
(866) 653-5142
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 103747 TX Primary

Addresses

Primary practice location

4119 Montrose Blvd Ste 500
Houston, TX 77006-4970

Mailing address

2425 Bell St Unit 2408
Houston, TX 77003-4459
Phone (847) 970-1985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241007003800 TX Practitioner - Clinical Social Worker 1153852751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deep Eddy Psychotherapy Management, LLC 70 clinicians

Practice addresses (Care Compare)

2600 W Stassney LN
Austin, TX 78745-3401
Phone (512) 956-6463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103747TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Creek Psychotherapy and Wellness Center CurrentSince Jul 28, 2021 Accepting new patients
Deep Centered Psychiatry PLLC CurrentSince Aug 20, 2024 Accepting new patients
Deep Eddy Psychotherapy Management, LLC CurrentSince Aug 20, 2024 Accepting new patients

Locations

508 Deep Eddy Ave
Austin, TX 78703
Phone (512) 469-0889

4119 Montrose Blvd
Ste 500
Houston, TX 77006
Phone (512) 456-9183

20915 Kingsland Blvd
Katy, TX 77450
Phone (281) 579-0703

Organizations & group practices 3

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1982254678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 BELL ST UNIT 2408",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770034459",
            "telephone_number": "847-970-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 MONTROSE BLVD STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770064970",
            "telephone_number": "512-956-6463",
            "fax_number": "866-653-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.