KRYSTAL CARTER LPC
NPI 1033511472
Counselor - Professional in Philadelphia, PA

Active since September 17, 2014Opted out of Medicare · through May 8, 2027
3905 FORD RD, SUITE 6, PHILADELPHIA, PA 19131(215) 220-2111 Get Directions Write a Review

NPPES record last updated: September 17, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Krystal Carter Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTAL CARTER LPC (NPI 1033511472) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC006900) and active in the NPI registry since September 2014. She has opted out of Medicare through May 8, 2027.

NPPES Registry Identity

NPI1033511472
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRYSTAL CARTERCredential: LPC
Location Address3905 FORD RD, SUITE 6Philadelphia, PA 19131-2824
Mailing Address3905 Ford Rd, Suite 6Philadelphia, PA 19131-2824 · (215) 220-2111
Sole ProprietorYes
Enumeration DateSeptember 17, 2014
NPI 1033511472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PA · PC006900
3905 FORD RD, Philadelphia, PA 19131

Other Names 1

Former Name (1)Krystal Layne

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Krystal Carter Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 8, 2025 through May 8, 2027.

Opt-Out Effective DateMay 8, 2025
Opt-Out In Effect ThroughMay 8, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
3905 FORD RD
PHILADELPHIA, PA 19131
Counselor (Mental Health)
3905 FORD RD, SUITE 6
PHILADELPHIA, PA 19131
Counselor (Mental Health)
3905 FORD RD, SUITE 6
PHILADELPHIA, PA 19131
Community/Behavioral Health
3905 FORD RD
PHILADELPHIA, PA 19131
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3905 FORD RD
PHILADELPHIA, PA 19131
Psychiatry & Neurology (Psychiatry)
3905 FORD RD
PHILADELPHIA, PA 19131
Counselor (Mental Health)
3905 FORD RD, SUITE #6
PHILADELPHIA, PA 19131
Social Worker (Clinical)
3905 FORD RD
PHILADELPHIA, PA 19131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krystal Carter's NPI number?

The NPI number for Krystal Carter is 1033511472. It was assigned to this individual provider in the NPPES registry on September 17, 2014. The provider is also known as Krystal Layne.

Where is Krystal Carter located?

Krystal Carter practices at 3905 Ford Rd Suite 6, Philadelphia, PA 19131. The listed phone number is (215) 220-2111.

What is Krystal Carter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Krystal Carter enrolled in Medicare?

No. Krystal Carter has opted out of Medicare through May 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Krystal Carter was last updated on September 17, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.