WILLIAM CARROLL (NPI# 1023652831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023652831 |
| Entity Type | Individual |
| Full Name | WILLIAM CARROLL |
| Practice Address |
50430 School House Rd Canton MI 48187-5910 |
| Practice Telephone | 7345897974 |
| Mailing Telephone | 7345897974 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 282334 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801432398 | William Carroll | Counselor | 1260 N Dutton Ave Ste 185, Santa Rosa, CA 95401-7146 | 2019-11-20 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| 1740671189 | William Carroll | Case Manager/Care Coordinator | 104 Nottingham Dr, Spring City, PA 19475-3419 | 2015-02-06 |
| 1497967673 | William Carroll | Specialist/Technologist | 5735 College Parkway, Mobile, AL 36613-2842 | 2007-05-03 |
| 1356482665 | William Wesley Carroll | Pharmacist | 3339 Meadow Green Ct, Amelia, OH 45102-1143 | 2007-02-09 |
| 1528030723 | William Martien Carroll | Psychologist | 109 Talisman, Hot Springs, AR 71901-7454 | 2006-02-02 |
| 1225021900 | William Brent Carroll | Dentist | 10894 S River Front Pkwy, South Jordan, UT 84095 | 2005-08-26 |
| 1689158339 | William J Carroll | Physical Therapist | 924 Main St, Niagara Falls, NY 14301-1110 | 2018-09-19 |
| 1013362748 | William Carroll Jr. | Community Health Worker | 1400 Noyes St, Utica, NY 13502-3854 | 2016-05-02 |
| 1134585631 | William G Carroll | Counselor | 316 Alexander St Se, Marietta, GA 30060-8217 | 2016-01-13 |
| Street Address |
50430 SCHOOL HOUSE RD |
| City | CANTON |
| State | MI |
| Zip Code | 48187-5910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952432841 | Family Service of Detroit & Wayne County | Counselor | 50430 School House Rd, Suite 104, Canton, MI 48187-5910 | 2007-03-09 |
| 1457968612 | Reanna Bell | Counselor | 50430 School House Rd, Canton, MI 48187-5910 | 2020-09-30 |
| 1033724943 | Nathaniel Edison Ponder | Counselor | 50430 School House Rd, Canton, MI 48187-5910 | 2020-09-09 |
| 1790309581 | Jamaine Thomas Atkins Sr. | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2020-06-08 |
| 1164066221 | Sarah Spencer | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2019-11-01 |
| 1528602653 | Connor Lehn | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2019-11-01 |
| 1881238921 | Sarah Wiegand | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2019-11-01 |
| 1841834983 | Kevin Kiesel | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2019-11-01 |
| 1861036030 | Tarah Paulsen | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2019-10-31 |
| 1518501790 | Nancy Struble | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2019-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
| 1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
| 1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
| 1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
| 1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
| 1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
| 1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
| Find all providers in zip 48187 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093350068 | Marc A Walker | Peer Specialist | 3311 12th St Nw, Canton, OH 44708-3909 | 2019-11-13 |
| 1114569506 | Nicole Herndon | Peer Specialist | 1114 Gonder Ave Se, Canton, OH 44707-3300 | 2019-10-17 |
| 1588138390 | Angela Rhoad | Peer Specialist | Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 | 2019-01-15 |
| 1851864144 | Jennifer Kathleen Shannon | Peer Specialist | 2945 Willowrow Ave Ne, Canton, OH 44705-3612 | 2019-01-09 |
| 1861962599 | Darnella L Jenkins | Peer Specialist | 2306 Crown Pl Nw, Canton, OH 44708-4420 | 2018-11-26 |
| 1396229027 | Michelle Lois Stackhouse | Peer Specialist | 5736 East Blvd Nw, Canton, OH 44718-1655 | 2018-09-19 |
| 1922520865 | Marc Slotnick | Peer Specialist | 43825 Michigan Ave., Canton, MI 48188 | 2017-07-12 |
| 1427656354 | Aaron Schreffler | Peer Specialist | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2020-10-13 |
| 1659985158 | Tracy Hart | Peer Specialist | 80 State Highway 310 Ste 1, Canton, NY 13617-1493 | 2020-09-02 |
| 1790309581 | Jamaine Thomas Atkins Sr. | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2020-06-08 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.