Active NPI
Anna Nadine Carroll, LPC
- Pastoral Counselor
- Louisville, KY
National Provider Identifier
1982319562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- 126666
- Practice address
- 6200 Dutchmans LN
Louisville, KY 40205-3271 - Phone
- (024) 566-2005
- NPI assigned
- Jan 18, 2023
- Last updated
- Mar 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 126666 | KY | Primary |
Addresses
Primary practice location
6200 Dutchmans LN
Louisville, KY 40205-3271
Mailing address
6200 Dutchmans LN
Louisville, KY 40205-3271
Phone (024) 566-2005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C93-031-975 | Other | KY | STATE DRIVER'S LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dcarroll@hosparus.org |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Guide Partners Inc | Past | Accepting new patients | |
| Care Guide Partners Inc | Pastoral | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Pallitus Health Partners
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Louisville, KY
- NPI 1457735805
Pastoral
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1982319562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 DUTCHMANS LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053271",
"telephone_number": "024-566-2005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 DUTCHMANS LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053271",
"telephone_number": "024-566-2005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "ANNA",
"middle_name": "NADINE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-18",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "KY",
"license": "126666",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DRIVER'S LICENSE",
"identifier": "C93-031-975",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dcarroll@hosparus.org",
"affiliation": "N",
"address_1": "6200 Dutchmans Ln",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402053271",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.