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Andre D Carr

Case Manager/Care Coordinator β€’ Venice, CA

Active NPI 1629792189 Individual Practitioner Male Practitioner
Practice location in NPPES

503 Ocean Front Walk
Venice, CA 90291

Call 3103923070 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

503 Ocean Front Walk

Venice, CA 90291

Telephone 3103923070
Organization at the Same NPPES Address or Phone
Phoenix Houses Of Los Angeles, Inc. Facility NPI 1497809735

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Los Angeles, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Venice and California

70 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Venice, CA (22,844 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Venice

0% of these 70 clinicians have the CMS telehealth indicator.

1.4% of these 70 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-04-08
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

License # reported to NPPES CA R1480760922

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES CA R1480760922
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Secondary Practice Locations

1731 Menlo Ave

Los Angeles, CA 900064613

Phone: 3237343284

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location April 08, 2023

Registered at 503 OCEAN FRONT WALK, VENICE, CA 90291 (Tel: 3103923070)

πŸ“
Updated Business Mailing Address April 08, 2023

Registered at 503 OCEAN FRONT WALK, VENICE, CA 902912403 (Tel: 3103923070)

βœ…
NPI Profile Active September 28, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 28, 2022

Registered at 1731 MENLO AVE, LOS ANGELES, CA 900064613 (Tel: 3237343284)

πŸ“
Business Mailing Address (Initial Record) September 28, 2022

Registered at 5233 E BEVERLY BLVD, LOS ANGELES, CA 900222020 (Tel: 3237246911)

πŸ‘€
Provider Name / Credentials (Initial Record) September 28, 2022

Recorded as ANDRE CARR

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2022

Counselor (license number reported to NPPES: CA R1480760922)

🟒
Initial NPI Registration & Enumeration September 28, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629792189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2022
Last Update: April 08, 2023
Sole Proprietor: No

Mailing Address

503 Ocean Front Walk

Venice, CA 902912403

Phone: 3103923070

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.