Active NPI
Spencer P Carrol, LPC
- Professional Counselor
- Northfield, IL
National Provider Identifier
1871346403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.020095
- Practice address
- 1622 Willow Rd Ste 200
Northfield, IL 60093-3450 - Phone
- (847) 853-0234
- NPI assigned
- Apr 11, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.020095 | IL | Primary |
Addresses
Primary practice location
1622 Willow Rd Ste 200
Northfield, IL 60093-3450
Mailing address
534 Sheridan Rd Apt 3a
Evanston, IL 60202-4708
Phone (214) 604-4444
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.020095 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1871346403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 SHERIDAN RD APT 3A",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602024708",
"telephone_number": "214-604-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1622 WILLOW RD STE 200",
"city": "NORTHFIELD",
"state": "IL",
"postal_code": "600933450",
"telephone_number": "847-853-0234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROL",
"first_name": "SPENCER",
"middle_name": "P",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-11",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.020095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.