1. Home
  2. Directory
  3. California
  4. Clearlake
  5. Counselor
  6. NPI Profile

MS. JUDITH ANN CARROLL RI-C0908210706
NPI 1205069796
Counselor - Addiction (Substance Use Disorder) in Clearlake, CA

Active since August 31, 2009
6885 OLD HWY 53, CLEARLAKE, CA 95422(707) 995-3235 Get Directions Write a Review

NPPES record last updated: September 10, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Judith Ann Carroll Ri-c0908210706 NPPES

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

MS. JUDITH ANN CARROLL RI-C0908210706 (NPI 1205069796) is an individual addiction (substance use disorder) provider in Clearlake, California, licensed in California (RI-C0908210706) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1205069796
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. JUDITH ANN CARROLLCredential: RI-C0908210706
Location Address6885 OLD HWY 53Clearlake, CA 95422
Mailing Address6885 Old Hwy 53, Po Box 6470Clearlake, CA 95422 · (707) 995-3235
Phone(707) 995-3235
Sole ProprietorYes
Enumeration DateAugust 31, 2009
Last NPPES UpdateSeptember 10, 2009
✔ NPI 1205069796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · RI-C0908210706
6885 OLD HWY 53, Clearlake, CA 95422
Open in Google Maps ↗

Other Identifiers 1

OtherRI-C0908210706CA · Substance Abuse Disorder

Other Providers at the Same Location NPPES 2

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

JAY EL TILLMAN
Counselor (Addiction (Substance Use Disorder))
6885 OLD HWY 53
CLEARLAKE, CA 95422
Lake County (707) 995-3235
JANET LYNN THOMSON RRW- 0106
Counselor (Addiction (Substance Use Disorder))
6885 OLD HWY 53
CLEARLAKE, CA 95422
Lake County (707) 995-3235

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 Judith Carroll's NPI number?

The NPI number for Judith Carroll is 1205069796. It was assigned to this individual provider in the NPPES registry on August 31, 2009.

Where is Judith Carroll located?

Judith Carroll practices at 6885 Old Hwy 53, Clearlake, CA 95422. The listed phone number is (707) 995-3235.

What is Judith Carroll's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Judith Carroll was last updated on September 10, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.