Courtney C Carroll, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2404557 Issued in OH

Practice address

520 Camden Ave
Cincinnati, OH 45229-2004

Phone

(513) 290-8471

NPI assigned

Nov 17, 2014

Reactivated

Sep 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Called 2 Encourage

  • Professional Counselor
  • Cincinnati, OH
  • NPI 1720657711

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1548666795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 CAMDEN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292004",
            "telephone_number": "513-290-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 CAMDEN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292004",
            "telephone_number": "513-290-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "COURTNEY",
        "middle_name": "C",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "deactivation_date": "2018-09-14",
        "reactivation_date": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "2404557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aeshya M Carroll
• Amy N Carroll, LPN
• Brendan Carroll
• Brent Alan Carroll, MD
• Caroline Reilly Carroll, PA-C
• Dianne S. Carroll, MSW, LISW-S
• Emily J Carroll, MD
• Joseph Carroll, RN
• Katharine Rose Carroll, PA-C
• Katherine B Carroll, PA-C

• Mental Health Counselor in Cincinnati, OH
• Providers in Cincinnati, 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 Jul 30, 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.