Individual provider Active NPI

Chelsea Armfield Carroll, LPC

  • Mental Health Counselor
  • Southern Pines, NC
National Provider Identifier
1942544473
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9383 Issued in NC
Practice address
750C NW Broad St
Southern Pines, NC 28387-4102
Phone
(833) 846-3463
NPI assigned
Nov 21, 2012
Last updated
Jan 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9383 NC Primary
Professional Counselor 101YP2500X 9383 NC

Addresses

Primary practice location

750C NW Broad St
Southern Pines, NC 28387-4102

Mailing address

374 Mountain Run
West End, NC 27376-9709

Other practice location 1

241 Grant St
West End, NC 27376-8377
Phone (910) 673-2323 ext. 29

Other practice location 2

1107 Seven Lakes Drive #7
West End, NC 27376
Phone (833) 846-3463

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

LicenseStateTypeSpecialty
9383NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Play Therapy of the Pines, PLLC Mental Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1942544473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 MOUNTAIN RUN",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273769709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750C NW BROAD ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874102",
            "telephone_number": "833-846-3463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 Grant St",
            "address_purpose": "LOCATION",
            "city": "West End",
            "state": "NC",
            "postal_code": "273768377",
            "country_code": "US",
            "telephone_number": "910-673-2323 x29",
            "fax_number": "910-673-6565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 Seven Lakes Drive #7",
            "address_purpose": "LOCATION",
            "city": "West End",
            "state": "NC",
            "postal_code": "27376",
            "country_code": "US",
            "telephone_number": "833-846-3463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "CHELSEA",
        "middle_name": "ARMFIELD",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9383",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9383",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.