MARVA DENISE CARTER LPC, LICDC, SWA
NPI 1972161230
Counselor - Addiction (Substance Use Disorder) in Dayton, OH

Q: What is Marva Carter's NPI number?

The NPI number for Marva Carter is 1972161230. It was assigned to this individual provider in the NPPES registry on June 3, 2019.

Q: What is Marva Carter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Marva Carter was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 03, 2019PECOS Enrolled

865 S PATTERSON BLVD, DAYTON, OH 45402(937) 966-4673 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2024, Jun 3, 2019 (2 updates tracked since 2019).

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About Marva Denise Carter Lpc, Licdc, Swa NPPES

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

MARVA DENISE CARTER LPC, LICDC, SWA (NPI 1972161230) is an individual addiction (substance use disorder) provider in Dayton, Ohio, licensed in Ohio (LICDC.162354) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dayton, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1972161230

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMARVA DENISE CARTERCredential: LPC, LICDC, SWA

Location Address865 S PATTERSON BLVDDayton, OH 45402-2624

Mailing Address7031 Corporate Way Ste 103100Dayton, OH 45459-4268 · (937) 619-9089

Phone(937) 966-4673

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJune 3, 2019

Last NPPES UpdateApril 3, 20242 updates tracked since enumeration

NPPES CertifiedMarch 15, 2024

✔ NPI 1972161230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OH · LICDC.162354

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License C.2305561 (OH)

865 S PATTERSON BLVD, Dayton, OH 45402

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Secondary Practice Location 1

Location 17031 Corporate Way Ste 103Dayton, OH 45459-4262 · Phone (937) 619-9089

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marva Denise Carter Lpc, Licdc, Swa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729591508

PECOS Enrollment IDI20250703001674, I20260209001528

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 20

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

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