Kimberly Carroll, LADC, LPCC, LHMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC01739 Issued in MN

Practice address

5310 Semora Rd
Roxboro, NC 27574-8432

Phone

(218) 214-6096

Fax

(888) 374-8957

NPI assigned

Oct 19, 2016

Last updated

Feb 1, 2026By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Great North Counseling Services, LLC

  • Professional Counselor
  • Minneapolis, MN
  • NPI 1538601778
  Authorized official Same address or phone

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769904000000",
    "number": "1225589765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 4TH AVE S",
            "address_2": "STE 5010 PMB 91823",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151053",
            "telephone_number": "218-214-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 SEMORA RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275748432",
            "telephone_number": "218-214-6096",
            "fax_number": "888-374-8957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 4th Ave S",
            "address_2": "Ste 5010 PMB 91823",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554151053",
            "country_code": "US",
            "telephone_number": "218-214-6096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "LADC, LPCC, LHMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2026-02-01",
        "certification_date": "2026-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304598",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "19619",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC01739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Hands and Supplementary Enrichment Education, LLC
• Carolina Behavioral Care
• Carolina Behavioral Care
• Carolina Center for Women's Health
• Angel Denny Carroll, SW
• Angela Marie Carter, FNP-BC
• Brittany Carver
• Kristy Marie Cates, PT, DPT
• Terri Bridges Cates, M.D.
• Gloria Cindy Cesar

• Professional Counselor in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2026; 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.