COURTNEY C CARROLL (NPI# 1548666795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548666795 |
| Entity Type | Individual |
| Full Name | COURTNEY C CARROLL |
| Credential | LPC |
| Practice Address |
204 Cook Rd Lebanon OH 45036-9600 |
| Mailing Address |
7 Hansbrinker Court Liberty Twp OH 45044 |
| Practice Telephone | 5139347119 |
| Practice Fax Number | 5136952952 |
| Mailing Telephone | 5132908471 |
| Mailing Fax Number | 5132287848 |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2018-09-26 |
| NPI Deactivation Date | 09/14/2018 |
| NPI Reactivation Date | 2018-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | NONE | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134773443 | Courtney Carroll | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756-6406 | 2019-07-25 |
| 1740848506 | Courtney Carroll | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1597 | 2019-06-05 |
| 1972069722 | Courtney Carroll | Nurse Practitioner | 2103 Forest Dr Ste 5, Gray, TN 37615-8423 | 2019-02-18 |
| 1114401338 | Courtney Danielle Carroll | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2018-09-24 |
| Street Address |
204 COOK RD |
| City | LEBANON |
| State | OH |
| Zip Code | 45036-9600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972570364 | Angela D Johnsen | Social Worker | 204 Cook Rd, Lebanon, OH 45036 | 2006-03-03 |
| 1558977504 | Katherine Amy Williams | Counselor | 204 Cook Rd, Lebanon, OH 45036-9600 | 2020-09-16 |
| 1760940688 | Chanel L Hall | Case Manager/Care Coordinator | 204 Cook Rd, Lebanon, OH 45036-9600 | 2019-03-10 |
| 1306332507 | Tracy S. Siemer | Social Worker | 204 Cook Rd, Lebanon, OH 45036 | 2018-07-11 |
| 1720452972 | Brandon Page | Case Manager/Care Coordinator | 204 Cook Rd, Suite 400, Lebanon, OH 45036-9600 | 2015-11-25 |
| 1649644105 | Taressa Ingle | Case Manager/Care Coordinator | 204 Cook Rd, Suite 400, Lebanon, OH 45036-9600 | 2015-11-20 |
| 1174996078 | David Franke | Social Worker | 204 Cook Rd, Suite 400, Lebanon, OH 45036-9600 | 2015-11-02 |
| 1518341312 | Kaitlyn Sheeran | Social Worker | 204 Cook Rd, Suite 400, Lebanon, OH 45036-9600 | 2015-07-13 |
| 1245622000 | Allison M Robertson | Social Worker | 204 Cook Rd, Lebanon, OH 45036-9600 | 2015-03-03 |
| 1598162406 | Heather R Nguyen | Marriage & Family Therapist | 204 Cook Rd, Lebanon, OH 45036-9600 | 2014-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1548769599 | Chelsea R Perkins | Case Manager/Care Coordinator | 975 Kingsview Drive Bldg B, Lebanon, OH 45036 | 2018-02-06 |
| 1184133829 | Mary Bennett | Speech-Language Pathologist | 6760 Oh St Rt. 34, Lynchburg, OH 45036 | 2017-09-26 |
| 1699292912 | Robert Earl Offutt | Counselor | 5234 State Rt.63, Lebanon, OH 45036 | 2017-08-28 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1154780435 | Ohio Department of Rehabilitation and Correction | Public Health or Welfare | State Route 63, Lebanon, OH 45036 | 2016-02-16 |
| Find all providers in zip 45036 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548769599 | Chelsea R Perkins | Case Manager/Care Coordinator | 975 Kingsview Drive Bldg B, Lebanon, OH 45036 | 2018-02-06 |
| 1306394440 | Deborah Dobrich | Case Manager/Care Coordinator | 85 Mechanic St # C2-1, Lebanon, NH 03766-1537 | 2016-09-19 |
| 1629457619 | Courtney H Wise | Case Manager/Care Coordinator | 975 A Kingsview Drive, Lebanon, OH 45036-9562 | 2015-05-22 |
| 1972784171 | Latifa Jaima | Case Manager/Care Coordinator | 9 Hanover St Ste 9, Lebanon, NH 03766-1312 | 2007-11-16 |
| 1427191006 | Marcee White | Case Manager/Care Coordinator | 417 Harding Drive, Suite B, Lebanon, TN 37087 | 2007-02-14 |
| 1235270042 | James V Davis | Case Manager/Care Coordinator | 417 Harding Dr, Suite B, Lebanon, TN 37087-3925 | 2007-02-12 |
| 1699381905 | Valerie Morse | Case Manager/Care Coordinator | 85 Mechanic St, Lebanon, NH 03766-1537 | 2020-09-22 |
| 1588275960 | Rachel Loseby | Case Manager/Care Coordinator | 85 Mechanic St Ste 360, Lebanon, NH 03766-1537 | 2020-08-11 |
| 1033730767 | Erik Randall | Case Manager/Care Coordinator | 85 Mechanic St, Lebanon, NH 03766-1537 | 2020-05-05 |
| 1245851310 | Yvonne L Baker | Case Manager/Care Coordinator | 5234 W St Rt 63, Lebanon, OH 45036-8202 | 2020-04-30 |
| Find all providers in LEBANON | ||||
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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.