1. Home
  2. Directory
  3. Michigan
  4. Traverse City
  5. Counselor
  6. NPI Profile

CARRIE DOUGLAS
NPI 1124570197
Counselor - Professional in Traverse City, MI

Active since October 26, 2016
415 CASS ST, SUITE 2A & 2D, TRAVERSE CITY, MI 49684(231) 346-5216(231) 943-2590 Get Directions Write a Review

NPPES record last updated: October 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carrie Douglas NPPES

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

CARRIE DOUGLAS (NPI 1124570197) is an individual professional provider in Traverse City, Michigan, licensed in Michigan (6401015031) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1124570197
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCARRIE DOUGLAS
Location Address415 CASS ST, SUITE 2A & 2DTraverse City, MI 49684-2589
Mailing Address415 Cass St, Suite 2a & 2dTraverse City, MI 49684-2589 · (231) 346-5216 · Fax (231) 943-2590
Phone(231) 346-5216
Fax(231) 943-2590
Sole ProprietorNo
Enumeration DateOctober 26, 2016
✔ NPI 1124570197 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 MI · 6401015031
415 CASS ST, Traverse City, MI 49684
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

JACQUIE R. THOMAS
Counselor (Professional)
415 CASS ST, SUITES 2A & 2D
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 346-5216
JACQUELINE MARIE HEIN LMSW
Social Worker (Clinical)
415 CASS ST, SUITES 2A & 2D
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 346-5216

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 Carrie Douglas's NPI number?

The NPI number for Carrie Douglas is 1124570197. It was assigned to this individual provider in the NPPES registry on October 26, 2016.

Where is Carrie Douglas located?

Carrie Douglas practices at 415 Cass St Suite 2A & 2D, Traverse City, MI 49684. The listed phone number is (231) 346-5216.

What is Carrie Douglas's specialty?

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

When was this NPI record last updated?

The NPPES record for Carrie Douglas was last updated on October 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.