Amy Maroulis Carroll, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701013621 Issued in VA

Practice address

14807 Moneta Rd
Moneta, VA 24121-6448

Phone

(434) 515-0300

NPI assigned

Jul 9, 2024

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

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.

• Virginia Baptist Childrens Home and Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salem, VA
  • NPI 1437879558
  NPD (past)

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783123200000",
    "number": "1750128690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 GOODVIEW TOWN RD",
            "city": "GOODVIEW",
            "state": "VA",
            "postal_code": "240953385",
            "telephone_number": "757-774-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14807 MONETA RD",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241216448",
            "telephone_number": "434-515-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "AMY",
        "middle_name": "MAROULIS",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2026-07-04",
        "certification_date": "2026-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Beuerle Martin, DPT
• Samantha Blankenship
• Virginia L. Blanks, MD
• Owen Riley Boone, M. D.
• Emily H Brush, PT
• Centra Health Professional Services, LLC
• Centra Health Professional Services, LLC
• Centra Medical Group, LLC
• Chapman Cardiology and Associates, PC
• Georgia Fisher Chapman, R PH

• Professional Counselor in Moneta, VA
• Providers in Moneta, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2026; 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.