JACOB CARTER
NPI 1336857473
Peer Specialist in Walden, NY

Active since November 08, 2022
108 ULSTER AVE, WALDEN, NY 12586(845) 452-2728 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Carter NPPES

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

JACOB CARTER (NPI 1336857473) is an individual peer specialist in Walden, New York, licensed in New York (4615) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1336857473
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJACOB CARTER
Location Address108 ULSTER AVEWalden, NY 12586-1036
Mailing Address102 Fulton AvePoughkeepsie, NY 12603-2857 · (845) 452-2728
Sole ProprietorNo
Enumeration DateNovember 8, 2022
NPPES CertifiedNovember 4, 2022
NPI 1336857473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in NY · 4615
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
108 ULSTER AVE, Walden, NY 12586

Other Providers at the Same Location NPPES

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

Community/Behavioral Health
108 ULSTER AVE
WALDEN, NY 12586

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 Jacob Carter's NPI number?

The NPI number for Jacob Carter is 1336857473. It was assigned to this individual provider in the NPPES registry on November 8, 2022.

Where is Jacob Carter located?

Jacob Carter practices at 108 Ulster Ave, Walden, NY 12586. The listed phone number is (845) 452-2728.

What is Jacob Carter's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jacob Carter was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.