Jonathan Marcellas Carr

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCCCA00218618 Issued in KY

Practice address

336 Lucille Dr
Lexington, KY 40511-8796

Phone

(859) 619-0684

NPI assigned

Aug 21, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Johnathan Marcellas Carr Other name

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Counseling Association of Lexington

  • Clinical Social Worker
  • Lexington, KY
  • NPI 1063738706
  Medicare reassignment NPD

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1407223787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 LUCILLE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405118796",
            "telephone_number": "859-619-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 LUCILLE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405118796",
            "telephone_number": "859-619-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "JONATHAN",
        "middle_name": "MARCELLAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-21",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "LPCCCA00218618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "725568",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHNATHAN",
            "last_name": "CARR",
            "middle_name": "MARCELLAS",
            "credential": "M.ED., LPCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Beth Carr
• Blakely Taylor Carr
• Donald Lee Carr, CST/CSFA, KCSA
• Ian Carr
• Jared Noah Carr
• Laura Gail Carr, M.D., M.P.H.
• Molly Bushong Carr, PHARMD
• Taylor James Dewayne Carr
• Jillian Renee Carrico
• Christen Carrigan

• Mental Health Counselor in Lexington, KY
• Providers in Lexington, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.