Lillian A Carroll, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4072-125 Issued in WI

Practice address

1716 Fordem Ave
Madison, WI 53704-4604

Phone

(608) 221-3511

Fax

(608) 221-3514

NPI assigned

Oct 23, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Children'S Service Society of Wisconsin

  • Clinical Social Worker
  • Madison, WI
  • NPI 1528232386
  NPD (past)

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1124661996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 FORDEM AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044604",
            "telephone_number": "608-221-3511",
            "fax_number": "608-221-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 FORDEM AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044604",
            "telephone_number": "608-221-3511",
            "fax_number": "608-221-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LILLIAN",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4072-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124661996",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberta Suzanne Carrier, PHARM.D., RPH
• Jose Manuel Carrillo, MD
• Adam L Carrizales, MD
• Colleen Carroll
• Liam Patrick Carroll, MD
• Samantha C. Carroll
• Thomas Carroll, LPC
• Ty B Carroll, MD
• Milinda R Carson, M.D.
• Gloria J Cartee, R.N.

• Professional Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.