1. Home
  2. Directory
  3. Ohio
  4. East Liverpool
  5. Peer Specialist
  6. NPI Profile

JERRETT LEE CARROLL APS.004717
NPI 1053131904
Peer Specialist in East Liverpool, OH

Active since October 15, 2024
658 WALNUT ST SUIT 3, EAST LIVERPOOL, OH 43920(330) 932-0157 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerrett Lee Carroll Aps.004717 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRETT LEE CARROLL APS.004717 (NPI 1053131904) is an individual peer specialist in East Liverpool, Ohio and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1053131904
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJERRETT LEE CARROLLCredential: APS.004717
Location Address658 WALNUT ST SUIT 3East Liverpool, OH 43920
Mailing Address1749 Idaho AveEast Liverpool, OH 43920 · (330) 368-8112
Phone(330) 932-0157
Sole ProprietorYes
Enumeration DateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1053131904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
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.
658 WALNUT ST SUIT 3, East Liverpool, OH 43920
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerrett Carroll's NPI number?

The NPI number for Jerrett Carroll is 1053131904. It was assigned to this individual provider in the NPPES registry on October 15, 2024.

Where is Jerrett Carroll located?

Jerrett Carroll practices at 658 Walnut St Suit 3, East Liverpool, OH 43920. The listed phone number is (330) 932-0157.

What is Jerrett Carroll's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jerrett Carroll was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.