Jacqueline Elizabeth Carroll

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

37FA00015600 Issued in NJ

Practice address

444 Warren St Apt 357
Jersey City, NJ 07302-7201

Phone

(551) 655-0006

Fax

(201) 567-9335

NPI assigned

Jun 5, 2018

Last updated

Jul 11, 2024By 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

Other names 1

• Jacqueline Elizabeth Ramos Former name

Medicare fee-for-service enrollment

Enrolled in NJ

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

Marriage and Family Therapist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Forge Medical Group, LLCGroup PAC ID 5597163949, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Forge Medical Group, LLC

  dba Forge Health

  • Psychiatry Physician
  • West Orange, NJ
  • NPI 1962175026
  Medicare reassignment Care Compare group NPD
• Forge Medical Group, LLC

  dba Forge Health

  • Psychiatry Physician
  • White Plains, NY
  • NPI 1811561855
  NPD

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1629560784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 WARREN ST APT 357",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073027201",
            "telephone_number": "551-655-0006",
            "fax_number": "201-567-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 WARREN ST APT 357",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073027201",
            "telephone_number": "551-655-0006",
            "fax_number": "201-567-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JACQUELINE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FA00015600",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "RAMOS",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Magdalena Carolan, DDS
• Jennifer Carovillano, PA-C
• Janecia Carr
• Nicole Carrillo, PA-C
• Anne Cook Carroll, RDN
• Nicholas Clark Carruthers, DC
• Carry Pharmacy Inc (carry drug)
• Justin J Carson, RN
• Aniyah Carter
• Cheryl Ann Carter, M.D.

• Marriage & Family Therapist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Marriage & Family Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.