PATRICIA MARIE CARROLL
NPI 1063071983
Counselor - Professional in Jackson, MI

Active since June 13, 2019
2424 W WASHINGTON AVE, JACKSON, MI 49203(517) 205-4001(517) 787-1286 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patricia Marie Carroll NPPES

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

PATRICIA MARIE CARROLL (NPI 1063071983) is an individual professional provider in Jackson, Michigan, licensed in Michigan (6401009331) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1063071983
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NamePATRICIA MARIE CARROLL
Location Address2424 W WASHINGTON AVEJackson, MI 49203-1236
Mailing Address2424 W Washington AveJackson, MI 49203-1236 · (517) 205-4001 · Fax (517) 787-1286
Fax(517) 787-1286
Sole ProprietorNo
Enumeration DateJune 13, 2019
NPI 1063071983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MI · 6401009331
2424 W WASHINGTON AVE, Jackson, MI 49203

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
2424 W WASHINGTON AVE
JACKSON, MI 49203
Social Worker (Clinical)
2424 W WASHINGTON AVE
JACKSON, MI 49203
Social Worker (Clinical)
2424 W WASHINGTON AVE
JACKSON, MI 49203
Social Worker (Clinical)
2424 W WASHINGTON AVE
JACKSON, MI 49203
Social Worker (Clinical)
2424 W WASHINGTON AVE
JACKSON, MI 49203
Social Worker (Clinical)
2424 W WASHINGTON AVE
JACKSON, MI 49203
Social Worker (Clinical)
2424 W WASHINGTON AVE
JACKSON, MI 49203
Counselor (Mental Health)
2424 W WASHINGTON AVE
JACKSON, MI 49203

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 Patricia Carroll's NPI number?

The NPI number for Patricia Carroll is 1063071983. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is Patricia Carroll located?

Patricia Carroll practices at 2424 W Washington Ave, Jackson, MI 49203. The listed phone number is (517) 205-4001.

What is Patricia Carroll's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Patricia Carroll was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.