Terese Carroll, CCAPP, CADTP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO51830418 Issued in CA

Practice address

660 Hampshire Rd Ste 108
Westlake Village, CA 91361-2554

Phone

(805) 497-0605

NPI assigned

Oct 15, 2019

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

Practice roles

Locations

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

• Kimberly Yudt, Licensed Clinical Social Worker Corp.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westlake Village, CA
  • NPI 1629643614
  NPD

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1982246559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 LUCERO ST",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602622",
            "telephone_number": "818-730-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 HAMPSHIRE RD STE 108",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612554",
            "telephone_number": "805-497-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "TERESE",
        "credential": "CCAPP, CADTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CO51830418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Leigh Carnes, M.F.T., L.P.C.C.
• Janet Lynn Carney-Clark
• Caroline C. Pieszak M.D. Inc.
• Aryana Carpenter
• Valerie Rose Carrillo-Olson
• Tammy Hinch Carson, MSW, LCSW
• Thomas Patrick Casey, M.D.
• Cynthia Louise Cash-Silver, LMFT
• Brandon Cassels
• Tamara Catalano

• Addiction (Substance Use Disorder) Counselor in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.