KRYSTAL CARTER


Address: 3905 Ford Rd, Suite 6, Philadelphia, PA 19131-2824
Phone: 2152202111

KRYSTAL CARTER (NPI# 1033511472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033511472
Entity Type Individual
Full Name KRYSTAL CARTER
Other Name KRYSTAL LAYNE
Credential LPC
Practice Address 3905 Ford Rd
Suite 6
Philadelphia
PA 19131-2824
Practice Telephone 2152202111
Mailing Telephone 2152202111
Enumeration Date 2014-09-17
Last Update Date 2014-09-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
PC006900 PA Behavioral Health & Social Service Providers

Other Providers KRYSTAL CARTER

NPI Name Taxonomy Address Enumeration
1275051104 Krystal Amanda Carter Specialist/Technologist 1000 W Broadway St, Oviedo, FL 32765-9260 2017-08-30
1639416886 Krystal Grace Carter Counselor 181 E Evans St, Suite 316, Florence, SC 29506-2511 2013-01-08

Office Location

Street Address 3905 FORD RD
SUITE 6
City PHILADELPHIA
State PA
Zip Code 19131-2824

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003808106 The Center for Autism Occupational Therapist 3905 Ford Rd, Suite 6, Philadelphia, PA 19131-2824 2005-08-16
1376165480 Kristen M Cann Behavioral Analyst 3905 Ford Rd, Philadelphia, PA 19131-2824 2020-05-12
1003438227 Carolynn Mcnamara Counselor 3905 Ford Rd, Philadelphia, PA 19131-2824 2020-05-11
1003437849 Susan Lambert Counselor 3905 Ford Rd, Philadelphia, PA 19131-2824 2020-05-04
1073025987 Kimberly Green Counselor 3905 Ford Rd, Philadelphia, PA 19131-2824 2017-11-01
1275044455 Leah Leschinsky Social Worker 3905 Ford Rd, Philadelphia, PA 19131-2824 2017-10-16
1598202947 Alison Mary Borden Counselor 3905 Ford Rd, Suite 6, Philadelphia, PA 19131-2824 2017-01-24
1609274125 Kimberly Myles Ray Social Worker 3905 Ford Rd, Suite 600, Philadelphia, PA 19131-2824 2014-12-16
1801203567 Wordsworth Acute Partial Hospital Community/Behavioral Health 3905 Ford Rd, Philadelphia, PA 19131-2824 2014-07-15
1245596287 Suzanne Bauer Counselor 3905 Ford Rd, Suite #6, Philadelphia, PA 19131-2824 2012-04-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629678925 Jonathan Welch Student in an Organized Health Care Education/Training Program 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 2020-10-27
1659970689 Novacare Outpatient Rehabilitation East, Inc. Clinic/Center 1575 North 25nd Street, Philadelphia, PA 19131 2020-10-21
1821629254 Stephen Osowski Student in an Organized Health Care Education/Training Program 4170 City Avenue, Philadelphia, PA 19131 2020-02-04
1134774888 Arti D Mistry Dentist 1126 Horsham Road, Philadelphia, PW 19131 2019-08-08
1275187221 Grace Bernadette Farrelly Occupational Therapist 2101 Simpson House, Philadelphia, PA 19131 2019-07-29
1235795204 Isd Renal Inc Clinic/Center 4952 Parkside Ave, Philadelphia, PA 19131 2019-05-15
1922502582 Kevin David Wojcik Student in an Organized Health Care Education/Training Program Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 2018-03-20
1235633900 Nadja Hill Home Health 5203 Diamond Street, Philadelphia, PA 19131 2018-03-19
1932623857 Mercy Management of Sepa Social Worker 1575 N 52nd St Ste 800, Philadelphia, PA 19131 2017-08-02
1578092235 Sarah Marie Hoder Specialist/Technologist 4000 Presidential Avenue, Philadlephia, PA 19131 2017-06-07
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1013516806 Being, LLC Counselor 1736 Kendrick St, Philadelphia, PA 19152-1816 2020-10-22
1821605809 Jessica Briddell-hasben Counselor 829 Grakyn Ln, Philadelphia, PA 19128-2005 2020-09-24
1538776653 Eric Brown Counselor 8227 Thouron Ave, Philadelphia, PA 19150-2018 2020-09-24
1740896661 Keya Middleton Counselor 2030 N 56th St, Philadelphia, PA 19131-3132 2020-09-16
1679189641 Teen Support Center, LLC Counselor 1528 Walnut St Ste 2012, Philadelphia, PA 19102-3613 2020-09-16
1982219879 Dathan Landon-freeman Counselor 7201 Frankford Ave Ste 1017, Philadelphia, PA 19135-1010 2020-09-09
1700490422 Outside The Box Strategies, LLC Counselor 5340 Angora Ter Fl 2, Philadelphia, PA 19143-3114 2020-09-01
1346853355 Lauren Dattilo Counselor 10175 Bustleton Ave, Philadelphia, PA 19116-3718 2020-08-28
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Competitor

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City PHILADELPHIA
Zip Code 19131

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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