Anne M Carroll, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C1975 Issued in OR

Practice address

1443 Commercial St SE
Salem, OR 97302-4307

Phone

(971) 208-5096

NPI assigned

Apr 23, 2009

Last updated

Jan 7, 2024By 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 1

Addresses

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": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704585600000",
    "number": "1891939666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 COMMERCIAL ST SE # 338",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024981",
            "telephone_number": "971-208-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024307",
            "telephone_number": "971-208-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "ANNE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2024-01-07",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C1975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Carranza
• Veronica Cecilia Carrasco Cabrera, M.D.
• Angelita Yovanni Carrasco
• Jessie Martin Carrigan, OTR
• Angela Mae Carroll, MSW, LCSW
• Jennifer Dianne Carroll, L.M.T.
• Carrolls Group Care Home Inc
• Carrolls Group Care Home Inc
• Dean Lucas Carson, RPH
• Barb J Carter, DM, CADCII, QMHP-C

• Mental Health Counselor in Salem, OR
• Providers in Salem, 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 Jan 7, 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.

Verify at the official NPI Registry.