Individual provider Active NPI

Joel L. Carr, PH.D., LCSW-S, LPC-S

  • Clinical Social Worker
  • San Angelo, TX
National Provider Identifier
1720163132
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
30420 Issued in TX
Practice address
2601 West Avenue N
Department of Social Work and Sociology, HHS 318P
San Angelo, TX 76909
Phone
(325) 486-6881
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16199 TX
Mental Health Counselor 101YM0800X 15246 TX
Professional Counselor 101YP2500X 15246 TX
Clinical Social Worker 1041C0700X 30420 TX Primary

Addresses

Primary practice location

2601 West Avenue N
Department of Social Work and Sociology, HHS 318P
San Angelo, TX 76909

Mailing address

Department of Social Work and Sociology
Asu Station #11043
San Angelo, TX 76909
Phone (325) 486-6881

Other identifiers 3

IdentifierTypeStateIssuer
11645-0622OtherTEXAS CERTIFICATION BOARD OF ADDICTION PROFESSIONALS (IC&RC)
28706OtherAMERICAN BOARD OF CLINICAL SOCIAL WORK
205864OtherNATIONAL BOARD FOR CERTIFIED COUNSELORS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
15246TXMDMental Health Counselor
30420TXMDClinical Social Worker
16199TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1720163132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF SOCIAL WORK AND SOCIOLOGY",
            "address_2": "ASU STATION #11043",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76909",
            "telephone_number": "325-486-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 WEST AVENUE N",
            "address_2": "DEPARTMENT OF SOCIAL WORK AND SOCIOLOGY, HHS 318P",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76909",
            "telephone_number": "325-486-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "JOEL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW-S, LPC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16199",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "15246",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15246",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "30420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CERTIFICATION BOARD OF ADDICTION PROFESSIONALS (IC&RC)",
            "identifier": "11645-0622",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF CLINICAL SOCIAL WORK",
            "identifier": "28706",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR CERTIFIED COUNSELORS",
            "identifier": "205864",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.