Kaitlin Ann Carter, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701011386 Issued in VA

Practice address

707 5TH St NE
Roanoke, VA 24016-2123

Phone

(540) 966-5808

Fax

(540) 966-5811

NPI assigned

May 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mainstream Mental Health Services

  • Community/Behavioral Health Agency
  • Roanoke, VA
  • NPI 1700150166
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1982342549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 EDGEWOOD LN",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240605116",
            "telephone_number": "540-449-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 5TH ST NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240162123",
            "telephone_number": "540-966-5808",
            "fax_number": "540-966-5811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4113 Pepperell Way",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "VA",
            "postal_code": "24084",
            "country_code": "US",
            "telephone_number": "540-966-5808",
            "fax_number": "540-966-5811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KAITLIN",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701011386",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011386",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0701011386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Carroll
• Victoria L Carroll, MD
• Paul Raymond Carswell, LPC
• Isaiah Carter
• John Charles Carter, DDS
• Marina M. Carter, PHARMD, BCACP
• Michael Carter, LMFT
• Robert Joles Carter II, CRNA
• Sharri Lafaune Carter, OT
• Taylor Nicole Carter, CSAC S

• Professional Counselor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.