MR. CORNELL CARTER
NPI 1477489813
Peer Specialist in Saint Louis, MO

Active since June 23, 2026
1 JEFFERSON BARRACKS DR BLDG 58, SAINT LOUIS, MO 63125(314) 652-4100 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Cornell Carter NPPES

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

MR. CORNELL CARTER (NPI 1477489813) is an individual peer specialist in Saint Louis, Missouri, licensed in Missouri (10658) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1477489813
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. CORNELL CARTER
Location Address1 JEFFERSON BARRACKS DR BLDG 58Saint Louis, MO 63125-4181
Mailing Address1 Jefferson Barracks Dr Bldg 58Saint Louis, MO 63125-4181 · (314) 652-4100
Sole ProprietorNo
Enumeration DateJune 23, 2026
NPPES CertifiedJune 23, 2026
NPI 1477489813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in MO · 10658
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.

1 JEFFERSON BARRACKS DR BLDG 58, Saint Louis, MO 63125

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
1 JEFFERSON BARRACKS DR BLDG 58
SAINT LOUIS, MO 63125

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477489813, enumerated as an "individual" on June 23, 2026.

The provider is located at 1 JEFFERSON BARRACKS DR BLDG 58 SAINT LOUIS, MO 63125 and the phone number is (314) 652-4100.

Peer Specialist with taxonomy code 175T00000X.