Individual provider Active NPI

Victoria A Carroll, MS, LMHC

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1265775787
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60250013 Issued in WA
Practice address
4407 N Division St Ste 801
Spokane, WA 99207-1660
Phone
(509) 228-8901
Fax
(509) 228-8162
NPI assigned
Apr 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60250013 WA Primary

Addresses

Primary practice location

4407 N Division St Ste 801
Spokane, WA 99207-1660

Mailing address

1818 W Francis Ave # 162
Spokane, WA 99205-6834
Phone (509) 266-3109

Other practice location 1

9804 N Jesse Ct
Spokane, WA 99208-9690
Phone (509) 266-3109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20240221000278 WA Practitioner - Mental Health Counselor 6901240720 Practice locations: Spokane, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LH60250013WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Act Services, PLLC Mental Health PastSince Aug 23, 2020 Accepting new patients
Adaptations Therapy Services PLLC Mental Health PastSince Oct 1, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1265775787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 W FRANCIS AVE # 162",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056834",
            "telephone_number": "509-266-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 N DIVISION ST STE 801",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071660",
            "telephone_number": "509-228-8901",
            "fax_number": "509-228-8162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9804 N Jesse Ct",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992089690",
            "country_code": "US",
            "telephone_number": "509-266-3109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "VICTORIA",
        "middle_name": "A",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60250013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.