Shawn Carroll, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3421 Issued in AL

Practice address

10865 US Highway 278 E Ste a
Holly Pond, AL 35083-6884

Phone

(205) 446-0294

Fax

(888) 500-5517

NPI assigned

Apr 25, 2016

Last updated

Jan 19, 2024By the provider in NPPES

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 AL

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

Credentials

Master of Science - Law

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peace Be Still Therapeutic Services

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  • Holly Pond, AL
  • NPI 1659145977
  Medicare reassignment NPD Authorized official
• Family Support Services LLC

  • Professional Counselor
  • Decatur, AL
  • NPI 1487013413
  NPD (past)

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1194170332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "BAILEYTON",
            "state": "AL",
            "postal_code": "350190143",
            "telephone_number": "205-446-0294",
            "fax_number": "888-500-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10865 US HIGHWAY 278 E STE A",
            "city": "HOLLY POND",
            "state": "AL",
            "postal_code": "350836884",
            "telephone_number": "205-446-0294",
            "fax_number": "888-500-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "SHAWN",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Brooke Beasley, DC
• Ashley Dye, RN
• Early Bird Chiropractic LLC
• Lynn Anderson Jetton, M.D.
• David Charles Kinsey, DMD
• Charles Allen Murphy, PHARMD

• Professional Counselor in Holly Pond, AL
• Providers in Holly Pond, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.