Maurice W. Carroll, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

14840 Issued in TX

Practice address

1631 E 2ND St Ste D
Austin, TX 78702-4491

Phone

(512) 804-3600

Fax

(512) 476-1469

NPI assigned

Nov 4, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Reese Carroll Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1669709192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 COLLIER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042911",
            "telephone_number": "512-472-4357",
            "fax_number": "512-740-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 E 2ND ST STE D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787024491",
            "telephone_number": "512-804-3600",
            "fax_number": "512-476-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "MAURICE",
        "middle_name": "W.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REESE",
            "last_name": "CARROLL",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Faith Carroll, LCSW, LCDC
• Jason Edwin Carroll
• Jeffrey Clay Carroll Jr.
• Lakeeda Hawley Carroll, RN
• Lynae Carroll, MS, CCC-SLP
• Miya Danielle Carroll, MS, RD
• Morgan Carroll
• Nicole Carroll, MS, LPC, NCC
• Regan Marie Carroll, MS, RDN, LDN
• Stephanie Ann Carroll, RPH

• Professional Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.