Jordan Nicole Carroll, LPCA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

21300 Catawba Ave
Cornelius, NC 28031-8505

Phone

(405) 473-7178

Fax

(704) 943-0512

NPI assigned

Nov 1, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1013261882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16430 LEAVITT LN",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280368947",
            "telephone_number": "405-473-7178",
            "fax_number": "704-943-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 CATAWBA AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318505",
            "telephone_number": "405-473-7178",
            "fax_number": "704-943-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JORDAN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolinas Center for Evaluation and Treatment
• Carolinas Physicians Network Inc
• Carolinas Physicians Network Inc
• Carolinas Physicians Network, Inc.
• Carolinas Physicians Network, Inc.
• Casa Care Pediatric Therapy, LLC
• Raegan Cashion, NP
• Christopher Charles Castiglia-Marelli, MSW, LCSW
• Castle Counseling
• Castle Counseling

• Counselor in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.