Lisa Carroll

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2013011413 Issued in MO

Practice address

141 N Meramec Ave
Suite 109
Clayton, MO 63105-3750

Phone

(773) 980-6962

NPI assigned

Sep 18, 2015

Sex

Female

Sole proprietor

Yes

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Compass Health, Inc

  • Community/Behavioral Health Agency
  • Clinton, MO
  • NPI 1285619494
  Medicare reassignment NPD
• Compass Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rolla, MO
  • NPI 1558258632
  NPD

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1083083182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5533 CONNECTICUT ST",
            "address_2": "SUITE 109",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391701",
            "telephone_number": "773-368-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N MERAMEC AVE",
            "address_2": "SUITE 109",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053750",
            "telephone_number": "773-980-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013011413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calm Mind CBT, LLC
• Jordan Nichole Cantrell, LPC
• Savannah Jual Carlson, PT, DPT
• Carosello Psychotherapy, LLC
• Olivia Harman Carosello, MSW, LCSW
• Bertha Y Carter-Simmons, APN
• Hilary Woollen Cedergreen, PLPC
• Center for Integrated Health, LLC
• Christina Maria Chavosy, M.S., CF-SLP
• Steven D. Chod, D.D.S.

• Professional Counselor in Clayton, MO
• Providers in Clayton, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.