Active NPI
Joel L. Carr, PH.D., LCSW-S, LPC-S
- Clinical Social Worker
- San Angelo, TX
National Provider Identifier
1720163132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 30420
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11645-0622 | Other | TEXAS CERTIFICATION BOARD OF ADDICTION PROFESSIONALS (IC&RC) | |
| 28706 | Other | AMERICAN BOARD OF CLINICAL SOCIAL WORK | |
| 205864 | Other | NATIONAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| 15246 | TX | MD | Mental Health Counselor |
| 30420 | TX | MD | Clinical Social Worker |
| 16199 | TX | MD | Chiropractor |
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.