JOHN M CAROLL (NPI# 1346595030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346595030 |
| Entity Type | Individual |
| Full Name | JOHN M CAROLL |
| Credential | LPCC |
| Practice Address |
814 Madison Ave Covington KY 41011 |
| Mailing Address |
3754 Heritage Pointe Blvd Mason OH 45040-7628 |
| Practice Telephone | 8555910092 |
| Practice Fax Number | 6063291530 |
| Mailing Telephone | 6069239042 |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2018-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1384 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 30610026 | 05 |
| Street Address |
814 MADISON AVE |
| City | COVINGTON |
| State | KY |
| Zip Code | 41011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659329118 | Andrea Evelyn Becker | Psychologist | 814 Madison Ave, Covington, KY 41011-2414 | 2006-05-05 |
| 1932695616 | Marianne Hall Hughes | Case Manager/Care Coordinator | 814 Madison Ave, Covington, KY 41011-2414 | 2018-07-06 |
| 1124520622 | Melany Mcelfresh | Case Manager/Care Coordinator | 814 Madison Ave, Covington, KY 41011-2414 | 2018-03-01 |
| 1093228405 | Jason Denuccio | Case Manager/Care Coordinator | 814 Madison Ave, Covington, KY 41011-2414 | 2017-11-07 |
| 1982888913 | Christina Dressman | Social Worker | 814 Madison Ave, Covington, KY 41011-2414 | 2007-12-27 |
| 1841231131 | Donald Evans | Social Worker | 814 Madison Ave, Covington, KY 41011-2414 | 2006-06-09 |
| 1770521288 | Laura Kruthoffer | Counselor | 814 Madison Ave, Covington, KY 41011-2414 | 2006-06-04 |
| 1083651558 | Beverly S Roland | Social Worker | 814 Madison Ave, Covington, KY 41011-2414 | 2006-06-01 |
| 1619924578 | Krista M Schoster | Counselor | 814 Madison Ave, Covington, KY 41011-2414 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850925 | Gina Shields New | Physical Therapist | 1500 James Simpson Jr Drive, Covington, KY 41011 | 2017-02-13 |
| 1730623091 | Sarah S. Laube | Dietitian, Registered | 1500 James Simpson Jr. Way, Ste 301, St. Elizabeth Physicians Regional Diabetes Center, Covington, KY 41011 | 2016-12-06 |
| 1366858557 | Shannon Rebecca Russell | Social Worker | 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 | 2014-07-08 |
| 1629417183 | Mortenson Family Dental Center- Ft Wright Pllc | Dentist | 1983 Dixie Hwy, Ft Mitchell, KY 41011 | 2013-06-18 |
| 1609150325 | Amanda Banks Galer | Social Worker | 1717 Dixie Hwy Ste 409, Ft Wright, KY 41011 | 2011-09-29 |
| 1750510004 | Marilyn Ruth Baker | Speech-Language Pathologist | 425 Garrad Street, Covington, KY 41011 | 2009-07-08 |
| 1093952327 | Douglas H Rank Md Psc | Psychiatry & Neurology | 12 West Pike St, Covington, KY 41011 | 2009-01-08 |
| 1376796722 | Bernice Raeann Calhoun | Counselor | 1955 Dixie Hwy Ste D, Ft Wright, KY 41011 | 2008-10-29 |
| 1609052265 | Marilyn Woods | Social Worker | 722 Scott Street, 3rd Floor, Covington, KY 41011 | 2008-01-14 |
| 1801089933 | Craig Louis Walsh | Dentist | 1846 Beacon Hill Ave, Fort Wright, KY 41011 | 2007-08-22 |
| Find all providers in zip 41011 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700409612 | Reach Counseling Solutions, Pllc | Counselor | 1776 Continental Dr Unit 503, Covington, LA 70433-7283 | 2020-05-26 |
| 1295379642 | Cindy Brown | Counselor | 214 Lee Ln Ste B, Covington, LA 70433-3252 | 2019-10-29 |
| 1649770025 | Timothy Irvin Bolen | Counselor | 141 Highway 142, Covington, GA 30014-4857 | 2018-02-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1417492836 | Shannon Conner | Counselor | 67140 Industry Ln., Covington, LA 70433 | 2016-12-20 |
| 1326590225 | Mainspring Wellness, LLC | Counselor | 600 Greenup St, Covington, KY 41011-2524 | 2016-10-27 |
| 1609324789 | Michael Anderson | Counselor | 75 Heaton Dr, Covington, GA 30016-0224 | 2016-09-16 |
| 1801252408 | Ashelie Blankenship | Counselor | 19411 Helenbirg Rd, Suite 103, Covington, LA 70433-5199 | 2016-01-12 |
| 1871962753 | Bridget Young | Counselor | 577 Huseman Ln, Covington, LA 70435-0580 | 2015-09-21 |
| 1528443371 | Latoya N Wright | Counselor | 100 Winnstead Place, Covington, GA 30016 | 2015-07-22 |
| Find all providers in COVINGTON | ||||
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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.