NPIMap

Organization Active NPI

Jill D Carroll LPC LLC

  • Professional Counselor
  • New Britain, CT
National Provider Identifier
1447645239
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1753 Issued in CT
Legal business name
JILL D CARROLL LPC LLC
Practice address
85 Lexington St
New Britain, CT 06052-1416
Phone
(203) 545-4426
NPI assigned
Mar 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Jill D Carroll, LPC
Title
Owner
Phone
(203) 545-4426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 1753 CT Primary

Addresses

Primary practice location

85 Lexington St
New Britain, CT 06052-1416

Mailing address

3409 Whitney Ave Apt 6
Hamden, CT 06518-1958
Phone (203) 545-4426

Other identifiers 1

IdentifierTypeStateIssuer
774747MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1447645239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 WHITNEY AVE APT 6",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181958",
            "telephone_number": "203-545-4426",
            "fax_number": "860-224-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 LEXINGTON ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521416",
            "telephone_number": "203-545-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL D CARROLL LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-545-4426",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "1753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "774747",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.