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MR. TIMOTHY MARTIN CARROLL CAS
NPI 1285965616
Counselor - Addiction (Substance Use Disorder) in Satellite Beach, FL

Active since January 25, 2010
1127 S PATRICK DR, SUITE 24, SATELLITE BEACH, FL 32937(321) 773-1111(321) 773-1692 Get Directions Write a Review

NPPES record last updated: January 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Timothy Martin Carroll Cas NPPES

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

MR. TIMOTHY MARTIN CARROLL CAS (NPI 1285965616) is an individual addiction (substance use disorder) provider in Satellite Beach, Florida, licensed in Florida (1205A) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1285965616
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. TIMOTHY MARTIN CARROLLCredential: CAS
Location Address1127 S PATRICK DR, SUITE 24Satellite Beach, FL 32937-3939
Mailing Address1127 S Patrick Dr, Suite 24Satellite Beach, FL 32937-3939 · (321) 773-1111 · Fax (321) 773-1692
Phone(321) 773-1111
Fax(321) 773-1692
Sole ProprietorYes
Enumeration DateJanuary 25, 2010
✔ NPI 1285965616 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 FL · 1205A
1127 S PATRICK DR, Satellite Beach, FL 32937
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Other Providers at the Same Location NPPES 7

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

PROGRESSIVE COUNSELING CENTERS INC
Counselor (Addiction (Substance Use Disorder))
1127 S PATRICK DR, SUITE 24
SATELLITE BEACH, FL 32937
Brevard County (321) 773-1111
MATIAS RODRIGUEZ M.S.
Student in an Organized Health Care Education/Training Program
1127 S PATRICK DR, SUITE 24
SATELLITE BEACH, FL 32937
Brevard County (321) 773-1111
MS. CATHERINE OXLEY LCSW
Social Worker (Clinical)
1127 S PATRICK DR, SUITE 24
SATELLITE BEACH, FL 32937
Brevard County (321) 773-1111
DR. CHARLES STEVENS PSY.D.
Psychologist (Clinical Child & Adolescent)
1127 S PATRICK DR, SUITE 24
SATELLITE BEACH, FL 32937
Brevard County (321) 773-1111
FLORIDA PSYCHOLOGICAL SPECIALISTS
Psychologist (Clinical Child & Adolescent)
1127 S PATRICK DR, SUITE 1
SATELLITE BEACH, FL 32937
Brevard County (321) 777-4440
SHIRLEY DIAN BRADSHAW L.M.H.C.
Counselor (Mental Health)
1127 S PATRICK DR, #24
SATELLITE BCH, FL 32937
Brevard County (321) 773-1111
DAVID DECUIR MSW,CNP
Social Worker (Clinical)
1127 S PATRICK DR, SUITE 24
SATELLITE BEACH, FL 32937
Brevard County (321) 773-1111

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 Timothy Carroll's NPI number?

The NPI number for Timothy Carroll is 1285965616. It was assigned to this individual provider in the NPPES registry on January 25, 2010.

Where is Timothy Carroll located?

Timothy Carroll practices at 1127 S Patrick Dr Suite 24, Satellite Beach, FL 32937. The listed phone number is (321) 773-1111.

What is Timothy 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 Timothy Carroll was last updated on January 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.