Carol Ann Jaquith, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18022 Issued in TX

Practice address

56 East Ave
Austin, TX 78701-4323

Phone

(512) 703-1312

Fax

(512) 703-1390

NPI assigned

Jun 4, 2010

Last updated

Jun 11, 2015By 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

Other identifiers 1

Other names 1

• Jeri Jaquith Other name

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": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1902126683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7807 WILLIAMSON CREEK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787362976",
            "telephone_number": "512-940-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 EAST AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787014323",
            "telephone_number": "512-703-1312",
            "fax_number": "512-703-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAQUITH",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211799604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERI",
            "last_name": "JAQUITH",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joseph David Janz, MD
• Samuel Janzen, LMSW
• Claudia G Jaquez
• Michael J Jaquez
• Sasha D. Jaquez, PHD
• Victoria Jara, LAC
• Ashton Jaramillo
• Sylvia Jaramillo, MD
• Jason Avery Jaratt
• Courtney Jardine, RD

• Professional Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.