RAECHAL DAWN CARROLL
NPI 1407336829
Counselor in Rockford, IL

Active since August 15, 2018
2704 N MAIN ST, ROCKFORD, IL 61103(815) 968-9300 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Raechal Dawn Carroll NPPES

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

RAECHAL DAWN CARROLL (NPI 1407336829) is an individual counselor in Rockford, Illinois and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1407336829
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameRAECHAL DAWN CARROLL
Location Address2704 N MAIN STRockford, IL 61103-3112
Mailing Address1021 N Mulford RdRockford, IL 61107-3877
Sole ProprietorNo
Enumeration DateAugust 15, 2018
NPI 1407336829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2704 N MAIN ST, Rockford, IL 61103

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.

Counselor
2704 N MAIN ST
ROCKFORD, IL 61103
Social Worker (Clinical)
2704 N MAIN ST
ROCKFORD, IL 61103
Counselor
2704 N MAIN ST
ROCKFORD, IL 61103
Social Worker (Clinical)
2704 N MAIN ST
ROCKFORD, IL 61103
Counselor
2704 N MAIN ST
ROCKFORD, IL 61103
Counselor
2704 N MAIN ST
ROCKFORD, IL 61103
Counselor
2704 N MAIN ST
ROCKFORD, IL 61103
Social Worker
2704 N MAIN ST
ROCKFORD, IL 61103

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 Raechal Carroll's NPI number?

The NPI number for Raechal Carroll is 1407336829. It was assigned to this individual provider in the NPPES registry on August 15, 2018.

Where is Raechal Carroll located?

Raechal Carroll practices at 2704 N Main St, Rockford, IL 61103. The listed phone number is (815) 968-9300.

What is Raechal Carroll's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Raechal Carroll was last updated on August 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.