MEDICARE: THE CARTER CONSORTIUM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1558003939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CARTER CONSORTIUM

Provider Business Mailing Address
First Line	:	3213 DUKE ST # 607
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-4533
Country	:	US
Telephone Number	:	703-517-1866
Fax Number	:	703-770-6082

Provider Business Practice Location Address
First Line	:	2645 CABIN CREEK RD
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-5813
Country	:	US
Telephone Number	:	703-517-1866
Fax Number	:	703-770-6082

Authorized Official
Title or Position	:	CEO
Name	:	DR. BENEALIA D CARTER
Credential	:	LPC, LMHC, LCPC, NCC
Telephone Number	:	703-517-1866

Provider Enumeration Date	:	04/07/2022
Last Update Date	:	12/01/2025

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Directions to “THE CARTER CONSORTIUM ” Practice Location

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