Organization Active NPI

Carroll Psychotherapy, LLC

  • Clinical Social Worker
  • Brookings, SD
National Provider Identifier
1790640225
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CARROLL PSYCHOTHERAPY, LLC
Practice address
510 Main Ave Ste 7
Brookings, SD 57006-2010
Phone
(605) 865-4105
Fax
(605) 443-1320
NPI assigned
Dec 17, 2025
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Kelsey Carroll, LCSW- PIPNPI 1801458575
Title
Provider/Owner
Phone
(605) 865-4105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

510 Main Ave Ste 7
Brookings, SD 57006-2010

Mailing address

510 Main Ave Ste 7
Brookings, SD 57006-2010
Phone (605) 865-4105

Other practice location 1

225 E 11th St Ste 215
Sioux Falls, SD 57104-6482
Phone (605) 865-4105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260209002223 SD Part B Supplier - Clinic/Group Practice 3072092212 Receives reassigned benefits from 1 practitioner
Practice locations: Brookings, SD; Sioux Falls, SD

National Provider Directory

National Provider Directory

Locations

225 E 11th St
Ste 215
Sioux Falls, SD 57104
Phone (605) 800-3860

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1790640225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MAIN AVE STE 7",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062010",
            "telephone_number": "605-865-4105",
            "fax_number": "605-443-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 MAIN AVE STE 7",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062010",
            "telephone_number": "605-865-4105",
            "fax_number": "605-443-1320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 E 11th St Ste 215",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571046482",
            "country_code": "US",
            "telephone_number": "605-865-4105",
            "fax_number": "605-443-1320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARROLL PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "605-865-4105",
        "authorized_official_credential": "LCSW- PIP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.