Rebecca F Carroll, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C4712 Issued in OR

Practice address

1600 N Coast Hwy Ste 1620
Newport, OR 97365

Phone

(412) 725-5885

Fax

(541) 272-5599

NPI assigned

Mar 27, 2006

Last updated

May 25, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1801856356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1316",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973650101",
            "telephone_number": "541-961-2020",
            "fax_number": "541-272-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N COAST HWY STE 1620",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "97365",
            "telephone_number": "412-725-5885",
            "fax_number": "541-272-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "REBECCA",
        "middle_name": "F",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "98-169",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500663453",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Julie L Carozza, CRNA
• H. Joshua Carson, M.D.
• Xiomara Michelle Castillo Rivera, MD
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• Central Coast Internal Medicine, P.C.
• Central Coast Physical Therapy Inc

• Mental Health Counselor in Newport, OR
• Providers in Newport, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.