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JERRY MONROE CARROLL
NPI 1205479789
Counselor - Addiction (Substance Use Disorder) in Cleveland, OH

Active since October 28, 2019
1227 ANSEL RD, CLEVELAND, OH 44108(216) 421-0662 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2022, Oct 28, 2019 (2 updates tracked since 2019).

About Jerry Monroe Carroll NPPES

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

JERRY MONROE CARROLL (NPI 1205479789) is an individual addiction (substance use disorder) provider in Cleveland, Ohio and active in the NPI registry since October 2019. He maintains a secondary practice location in Euclid.

NPPES Registry Identity

NPI1205479789
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJERRY MONROE CARROLL
Location Address1227 ANSEL RDCleveland, OH 44108-3323
Mailing Address1022 Evangeline RdCleveland, OH 44110-3151 · (216) 512-0995
Phone(216) 421-0662
Sole ProprietorNo
Enumeration DateOctober 28, 2019
Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
✔ NPI 1205479789 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
1227 ANSEL RD, Cleveland, OH 44108
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Secondary Practice Location 1

Location 123201 Lake Shore Blvd Apt 44Euclid, OH 44123-1340 · Phone (216) 403-2960

Other Providers at the Same Location NPPES 20

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

KAREN YOUNG CDCA
Counselor (Addiction (Substance Use Disorder))
1227 ANSEL RD
CLEVELAND, OH 44108
Cuyahoga County (216) 621-0662
MS. MARIA ROBINSON CDCA
Counselor (Addiction (Substance Use Disorder))
1227 ANSEL RD
CLEVELAND, OH 44108
Cuyahoga County (216) 421-0662
KATHLEEN OBERLE
Counselor (Addiction (Substance Use Disorder))
1227 ANSEL RD
CLEVELAND, OH 44108
Cuyahoga County (216) 421-0662
SHAWANNA BAKER CDCA
Counselor (Addiction (Substance Use Disorder))
1227 ANSEL RD
CLEVELAND, OH 44108
Cuyahoga County (216) 421-0662
DIANA HOLMES
Counselor (Addiction (Substance Use Disorder))
1227 ANSEL RD
CLEVELAND, OH 44108
Cuyahoga County (216) 421-0662
CHRISTINA NICOLE NUNAMAKER MSW, LSW
Social Worker
1227 ANSEL RD
CLEVELAND, OH 44108
Cuyahoga County (216) 421-0662
KRUTI KURADA
Counselor (Addiction (Substance Use Disorder))
1227 ANSEL RD
CLEVELAND, OH 44108
Cuyahoga County (216) 421-0662
DANYELL CHENELL SUMMERS-CARSON
Counselor (Addiction (Substance Use Disorder))
1227 ANSEL RD
CLEVELAND, OH 44108
Cuyahoga County (216) 329-4927

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 Jerry Carroll's NPI number?

The NPI number for Jerry Carroll is 1205479789. It was assigned to this individual provider in the NPPES registry on October 28, 2019.

Where is Jerry Carroll located?

Jerry Carroll practices at 1227 Ansel Rd, Cleveland, OH 44108. The listed phone number is (216) 421-0662.

What is Jerry 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 Jerry Carroll was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.