Howard L Carroll, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LCPC13 Issued in ID

Practice address

111 Lillian St
Suite 101
Salmon, ID 83467

Phone

(208) 756-2970

Fax

(208) 756-3018

NPI assigned

Jul 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386660561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LILLIAN ST",
            "address_2": "SUITE 101",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "83467",
            "telephone_number": "208-756-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LILLIAN ST",
            "address_2": "SUITE 101",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "83467",
            "telephone_number": "208-756-2970",
            "fax_number": "208-756-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "HOWARD",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LCPC13",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "10016250",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "27320",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karlee Leeann Boese, LCSW
• Boise Vamc
• Tevagene Bragg
• Nancy J Bryant, P.T.
• Kirstie Burch, RN
• CC Home Health Choices, LLC (Salmon Valley Hospice)
• CC Home Health Choices, LLC (Salmon Valley Hospice)
• Charles John Clark, R.PH.
• Catherine Cochran, RPH
• Jennifer Victoria Coffey, D.C.

• Counselor in Salmon, ID
• Providers in Salmon, ID by specialty
• Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.