Kristi Carroll, LICDC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.2404007 Issued in OH

Practice address

11821 State Route 160
Vinton, OH 45686-9009

Phone

(740) 245-3051

NPI assigned

Sep 19, 2019

Last updated

Feb 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

• Field of Hope Community Campus, Inc.

  • Adult Mental Health Clinic/Center
  • Vinton, OH
  • NPI 1013590819
  NPD
• Field of Hope Community Campus, Inc.

  dba Field of Hope

  • Community/Behavioral Health Agency
  • Vinton, OH
  • NPI 1932592839
  NPD (past)

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1386294528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11821 STATE ROUTE 160",
            "city": "VINTON",
            "state": "OH",
            "postal_code": "456869009",
            "telephone_number": "740-245-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 STATE ROUTE 160",
            "city": "VINTON",
            "state": "OH",
            "postal_code": "456869009",
            "telephone_number": "740-245-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "KRISTI",
        "credential": "LICDC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162235",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2404007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145313",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tim A Branham, RN
• Billie Love Briles
• Jonnie Miranda Blair Burgett
• Sabrina Burgett
• Claudia Call, FNP
• Cheyanne Nicole Closs, CDCA
• Ashley Cook
• Loretta Counts
• Steven Michael Cox
• Rhanda Cross

• Mental Health Counselor in Vinton, OH
• Providers in Vinton, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.