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ANDRIA MICHON CARTER MSW, ASW
NPI 1477698652
Counselor in Oakland, CA

Active since February 21, 2007PECOS Enrolled
111 MYRTLE ST STE 102, OAKLAND, CA 94607(510) 504-0120 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Andria Michon Carter Msw, Asw NPPES

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

ANDRIA MICHON CARTER MSW, ASW (NPI 1477698652) is an individual counselor in Oakland, California, licensed in California (29016) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Berkeley.

NPPES Registry Identity

NPI1477698652
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameANDRIA MICHON CARTERCredential: MSW, ASW
Location Address111 MYRTLE ST STE 102Oakland, CA 94607-2535
Mailing Address9214 Golf Links RdOakland, CA 94605-4103 · (510) 504-0120
Phone(510) 504-0120
Sole ProprietorYes
Enumeration DateFebruary 21, 2007
Last NPPES UpdateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
✔ NPI 1477698652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in CA · 29016
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 29016 (CA)
111 MYRTLE ST STE 102, Oakland, CA 94607
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Secondary Practice Location 1

Location 12500 Milvia StBerkeley, CA 94704-2636 · Phone (510) 504-0120

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andria Michon Carter Msw, Asw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andria Carter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation
7.8 mi
Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1366898538 (510) 204-8180

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

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

ELIZABETH VIRGINIA GIBSON MA, MFTI
Marriage & Family Therapist
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Alameda County (510) 463-7673
RICHA SARASWAT
Student in an Organized Health Care Education/Training Program
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Alameda County (925) 395-2733
ALTERNATIVE FAMILY SERVICES
Foster Care Agency
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Alameda County (510) 839-3800
MR. BENJAMIN AMOS BLACKMON II
Counselor (Mental Health)
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Alameda County (510) 839-3800
MR. SASHA LUSTGARTEN M.A., MFT
Marriage & Family Therapist
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Alameda County (510) 229-9035
LAURA ESPINO
Student in an Organized Health Care Education/Training Program
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Alameda County (510) 568-0306
OMSRI BHARAT
Student in an Organized Health Care Education/Training Program
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Alameda County (925) 788-9920
YESENIA GISELLE SELVA FEUSTEL
Counselor
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Alameda County (925) 787-7775

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 Andria Carter's NPI number?

The NPI number for Andria Carter is 1477698652. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Andria Carter located?

Andria Carter practices at 111 Myrtle St Ste 102, Oakland, CA 94607. The listed phone number is (510) 504-0120.

What is Andria Carter's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Andria Carter enrolled in Medicare?

Yes. Andria Carter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andria Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andria Carter reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andria Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andria Carter was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.