Ashley Jade Carroll, LPA
Individual provider Active NPI Psychologist · Pearland, TX
NPI 1275360976 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1275360976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 39428 (TX)
- Practice address
- 3129 Kingsley Dr Ste 840
Pearland, TX 77584-8508 - Phone
- (281) 818-6758
- NPI assigned
- Sep 17, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39428 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anew Psychological Services, PLLC | Current |
Accepting new patients |
Locations
3129 Kingsley Dr
Ste 840
Pearland, TX 77584
Phone (281) 818-6758
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39428 | TX | |
| Psychologist | 103T00000X | 39428 | TX | Yes |
Addresses
Primary practice location
3129 Kingsley Dr Ste 840
Pearland, TX 77584-8508
Mailing address
3129 Kingsley Dr Ste 840
Pearland, TX 77584-8508
Phone (281) 818-6758
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.