DR. JESSICA ELIZABETH-ROSE CARROLL PHD
NPI 1306222401
Psychologist - Clinical in Mountain View, HI

Q: What is Jessica Carroll's NPI number?

The NPI number for Jessica Carroll is 1306222401. It was assigned to this individual provider in the NPPES registry on July 31, 2015.

Q: What is Jessica Carroll's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Carroll was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 31, 2015PECOS Enrolled

11-3059 PLUMERIA STREET, MOUNTAIN VIEW, HI 96771(808) 255-4247 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2019, Dec 5, 2019 (2 updates tracked since 2019).

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About Dr. Jessica Elizabeth-rose Carroll Phd NPPES

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

DR. JESSICA ELIZABETH-ROSE CARROLL PHD (NPI 1306222401) is an individual clinical provider in Mountain View, Hawaii, licensed in Hawaii (PSY-1813) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306222401

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JESSICA ELIZABETH-ROSE CARROLLCredential: PHD

Location Address11-3059 PLUMERIA STREETMountain View, HI 96771-1570

Mailing AddressPo Box 711570Mountain View, HI 96771-1570 · (808) 255-4247

Phone(808) 255-4247

Sole ProprietorYes

Enumeration DateJuly 31, 2015

Last NPPES UpdateDecember 12, 20192 updates tracked since enumeration

✔ NPI 1306222401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in HI · PSY-1813

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

11-3059 PLUMERIA STREET, Mountain View, HI 96771

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Elizabeth-rose Carroll Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96771 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$180.05 typical visit price

range $60.53 – $180.05

Typical copayment $45.01 (range $15.13 – $45.01)

Most-billed visit code 99205

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jessica Carroll's NPI number?

The NPI number for Jessica Carroll is 1306222401. It was assigned to this individual provider in the NPPES registry on July 31, 2015.

Where is Jessica Carroll located?

Jessica Carroll practices at 11-3059 Plumeria Street, Mountain View, HI 96771. The listed phone number is (808) 255-4247.

What is Jessica Carroll's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jessica Carroll enrolled in Medicare?

Yes. Jessica Carroll is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Carroll was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.