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: July 19, 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, maintains a secondary practice location in Berkeley, and is a graduate of Other (2010).

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
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
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

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID1153823927
PECOS Enrollment IDI20250909002723
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.

Other Providers at the Same Location NPPES 18

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

Marriage & Family Therapist
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Marriage & Family Therapist
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Counselor
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Social Worker
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Foster Care Agency
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Counselor
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Marriage & Family Therapist
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Counselor
111 MYRTLE ST STE 102
OAKLAND, CA 94607

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477698652, enumerated as an "individual" on February 21, 2007.

The provider is located at 111 MYRTLE ST STE 102 OAKLAND, CA 94607 and the phone number is (510) 504-0120.

Counselor with taxonomy code 101Y00000X.