Active NPI
Doreen Marie Carroll, MS LMFT
- Marriage & Family Therapist
- Jacksonville, NC
National Provider Identifier
1871567404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 647
- Practice address
- 200 Valencia Drive
Ste #161
Jacksonville, NC 28546 - Phone
- (910) 347-9855
- Fax
- (910) 353-4310
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 647 | NC | Primary |
Addresses
Primary practice location
200 Valencia Drive
Ste #161
Jacksonville, NC 28546
Mailing address
200 Valencia Drive
Ste #161
Jacksonville, NC 28546
Phone (910) 347-9855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6105050 | Medicaid | NC |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 647 | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1871567404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 VALENCIA DRIVE",
"address_2": "STE #161",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "28546",
"telephone_number": "910-347-9855",
"fax_number": "910-353-4310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 VALENCIA DRIVE",
"address_2": "STE #161",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "28546",
"telephone_number": "910-347-9855",
"fax_number": "910-353-4310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "DOREEN",
"middle_name": "MARIE",
"credential": "MS LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6105050",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
- Carolinas Center for Endodontics and Dental Microsurger
- Carolinas Healthcare Associates, Inc.
- Alison Dana Carpenter, LCSW, LCAS
- Francesca I Carr
- Devan James Carroll, LCAS-A
- Danielle Boyer Carson, MOT, OTR/L
- Margi Ann Carter, SLP
- Stephanie Lee Carter
- Carteret Surgical Associates P.a.
- Carteret Surgical Associates P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.