JULIE B CARROLL (NPI# 1205177540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205177540 |
| Entity Type | Individual |
| Full Name | JULIE B CARROLL |
| Credential | BHRS |
| Practice Address |
801 E Main St Tishomingo OK 73460-2351 |
| Mailing Address |
5601 W Country Ln Tishomingo OK 73460-4503 |
| Practice Telephone | 5803713799 |
| Practice Fax Number | 5803712056 |
| Mailing Telephone | 5803713376 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942589486 | Julie Anne Carroll | Speech-Language Pathologist | 468 New York 17 A, Florida, NY 10921-1014 | 2011-08-16 |
| 1366062499 | Julie Heather Carroll | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Fort Worth, TX 76104-4941 | 2020-04-18 |
| 1659901650 | Julie Carroll | Family Medicine | 8069 Washington Village Dr, Dayton, OH 45458-1847 | 2020-01-19 |
| 1821277013 | Julie D Carroll | Counselor | 215 W Linn St, Norman, OK 73069-5837 | 2007-10-24 |
| Street Address |
801 E MAIN ST |
| City | TISHOMINGO |
| State | OK |
| Zip Code | 73460-2351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891353819 | Kristy Dawn Ford | Counselor | 801 E Main St, Tishomingo, OK 73460-2351 | 2019-06-04 |
| 1215498449 | Ellen J Chapman | Case Manager/Care Coordinator | 801 E Main St, Tishomingo, OK 73460-2351 | 2019-03-29 |
| 1629503354 | Jimmy Dewayne Spence | Counselor | 801 E Main St, Tishomingo, OK 73460-2351 | 2017-05-01 |
| 1114321478 | Mathew Thomas | Counselor | 801 E Main St, Tishomingo, OK 73460-2351 | 2014-10-15 |
| 1841612751 | Ruth Mcgraw | Case Management | 801 E Main St, Tishomingo, OK 73460-2351 | 2014-01-11 |
| 1831525591 | Cade Joseph Kennison | Case Manager/Care Coordinator | 801 E Main St, Tishomingo, OK 73460-2351 | 2013-09-25 |
| 1912330713 | Shannon Nicole Hughes | Case Manager/Care Coordinator | 801 E Main St, Tishomingo, OK 73460-2351 | 2013-08-15 |
| 1144666868 | Sheila D Jones | Psychologist | 801 E Main St, Tishomingo, OK 73460-2351 | 2013-05-21 |
| 1336585652 | Jamie Griffith | Psychologist | 801 E Main St, Tishomingo, OK 73460-2351 | 2013-05-14 |
| 1891037412 | Ashley Elizabeth Stacy | Psychologist | 801 E Main St, Tishomingo, OK 73460-2351 | 2013-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912380742 | Lori Pigg | Speech-Language Pathologist | 508 N. Neshoba, Tishomingo, OK 73460 | 2015-06-29 |
| 1407241748 | Brittany Walker | Case Management | 850 E. Highway 22, Tishomingo, OK 73460 | 2015-04-03 |
| 1427460641 | Elizabeth Mcdonald | Counselor | 512 East 24th, Tishomingo, OK 73460 | 2014-05-22 |
| 1619387131 | Sheri Slaughter | Counselor | 102 N. Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1336559848 | Heather Marlatt | Counselor | 102 North Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1811231939 | Wanda Luann Beesley Gray | Emergency Medical Technician, Paramedic | 3100 E St Hwy 78, Tishomingo, OK 73460 | 2012-11-15 |
| 1497014724 | Jessica Kay Johnston | Counselor | Outpatient Services-tishomingo; 817 E. 6th St., Strong Family Development, Tishomingo, OK 73460 | 2012-05-07 |
| 1487910949 | Rhonda Gayle Harrison | Counselor | 817 E. 6th St., Medical Family Therapy, Tishomingo, OK 73460 | 2012-04-09 |
| 1265704183 | Parks Family Dental | Preferred Provider Organization | 1520 E. Main Street, Tishomingo, OK 73460 | 2012-02-08 |
| 1770852295 | Gina Marice Frazier | Social Worker | Outpatient Services- Tishomingo, 817 E. 6th St., Tishomingo, OK 73460 | 2011-12-29 |
| Find all providers in zip 73460 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619387131 | Sheri Slaughter | Counselor | 102 N. Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1336559848 | Heather Marlatt | Counselor | 102 North Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1073958211 | Cody Don Stephens | Counselor | 501 N Fisher St Apt 9, Tishomingo, OK 73460-1318 | 2013-05-01 |
| 1023302650 | Amanda Kay Blue | Counselor | 1531 West Main, Tishomingo, OK 73460 | 2011-05-31 |
| 1902107857 | Terri Dawn Claborn | Counselor | 201 S Murray, Tishomingo, OK 73460 | 2010-11-09 |
| 1902123862 | Hunter Ty Hull | Counselor | 2205 E Cedar Ridge Rd, Tishomingo, OK 73460-4019 | 2010-04-30 |
| 1053515320 | Sharon G Teafatiller | Counselor | 610 E. 24th, Tishomingo, OK 73460 | 2007-06-12 |
| 1639201759 | Casey Powers | Counselor | Medical Family Therapy, 817 E. 6th St., Tishomingo, OK 73460 | 2007-03-12 |
| 1558989806 | Abbey Nixon | Counselor | 201 S Murray St, Tishomingo, OK 73460-2224 | 2020-07-13 |
| 1366009797 | Angela Lagene Morgan | Counselor | 504 E 24th St, Tishomingo, OK 73460-3214 | 2019-05-21 |
| Find all providers in TISHOMINGO | ||||
| City | TISHOMINGO |
| Zip Code | 73460 |
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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.