Jill C Carroll, M.S., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7809 Issued in OK

Practice address

804 W Choctaw Ave
Chickasha, OK 73018-2310

Phone

(405) 222-0622

Fax

(405) 224-9532

NPI assigned

Jan 4, 2017

Last updated

Feb 24, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• J Carroll Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Moore, OK
  • NPI 1740969690
  NPD Authorized official

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1497290159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 W CHOCTAW AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W CHOCTAW AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182310",
            "telephone_number": "405-222-0622",
            "fax_number": "405-224-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JILL",
        "middle_name": "C",
        "credential": "M.S., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "7809",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cancer Centers of Southwest Oklahoma, LLC (Cancer Centers of Southwest Oklahoma)
• Rebecca D. Cantrell
• Care Choice Hospice of Duncan
• Carefirst Wellness Associates of Ok LLC
• Michael Caro Jr.
• Maryalice Case, PMHNP
• Katherine June Cate, CTRS
• Central Oklahoma Home Healthcare Inc.
• Steven Wayne Chandler
• Aurelia Kate Chaney

• Mental Health Counselor in Chickasha, OK
• Providers in Chickasha, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.