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Daniel Ryan Carter

Counselor

Behavioral Health & Social Service Providers

2004 Valparaiso St, Valparaiso, IN 46383-3138

PECOS Enrollment

This provider is enrolled in PECOS as DANIEL CARTER.

Based on the most recent information from CMS, provider Daniel Ryan Carter is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:05 AM.

Profile Details

Provider ID
1003114349
Provider Type
Individual
Full Name
Carter, Daniel Ryan
Credential
LMHC

Gender
Male
Sole Proprietor
No
Enumeration Date
3/10/2011
Last Updated
10/24/2024

Contact Information

Practice Location

2004 Valparaiso St, Valparaiso, IN 46383-3138

(219) 477-5646

Unlisted Fax

Mailing Location

2004 Valparaiso St, Valparaiso, IN 46383-3138

(219) 477-5646

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 39002589A Indiana

Provider Identifiers

ID	Description	Issuer
ID 300059549	Description Medicaid	Issuer Unlisted Indiana

Daniel Ryan Carter

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Eberstein, Debra Lynn

Vanhimbergen, Kara

Matheus, Elizabeth S

Peiffer, Melissa

Chapa, Anthony

Wardell, Nicholas

Valtierra, Melissa E

Butler, Brent

Mullenhour, Jamie Lynn

Cimbala, Jennifer A