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JACQUELINE ELIZABETH CARROLL
NPI 1629560784
Marriage & Family Therapist in Jersey City, NJ

Active since June 05, 2018PECOS EnrolledAccepts Medicare Assignment
444 WARREN ST APT 357, JERSEY CITY, NJ 07302(551) 655-0006(201) 567-9335 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2024, Jul 23, 2019 (2 updates tracked since 2019).

About Jacqueline Elizabeth Carroll NPPES

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

JACQUELINE ELIZABETH CARROLL (NPI 1629560784) is an individual marriage & family therapist in Jersey City, New Jersey, licensed in New Jersey (37FA00015600) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629560784
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJACQUELINE ELIZABETH CARROLL
Location Address444 WARREN ST APT 357Jersey City, NJ 07302-7201
Mailing Address444 Warren St Apt 357Jersey City, NJ 07302-7201 · (551) 655-0006 · Fax (201) 567-9335
Phone(551) 655-0006
Fax(201) 567-9335
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 5, 2018
Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1629560784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in NJ · 37FA00015600
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
444 WARREN ST APT 357, Jersey City, NJ 07302
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Other Names 1

Former Name (1)Jacqueline Elizabeth Ramos

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Elizabeth Carroll is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789111873
PECOS Enrollment IDI20241231003619
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Carroll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Forge Medical Group, LLC
13 mi
Psychiatry
1500 PLEASANT VALLEY WAY STE 305
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 34 clinicians in this Medicare group
NPI 1962175026 (973) 535-0627

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jacqueline Carroll's NPI number?

The NPI number for Jacqueline Carroll is 1629560784. It was assigned to this individual provider in the NPPES registry on June 5, 2018. The provider is also known as Jacqueline Elizabeth Ramos.

Where is Jacqueline Carroll located?

Jacqueline Carroll practices at 444 Warren St Apt 357, Jersey City, NJ 07302. The listed phone number is (551) 655-0006.

What is Jacqueline Carroll's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jacqueline Carroll enrolled in Medicare?

Yes. Jacqueline Carroll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jacqueline Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Carroll reassigns Medicare benefits to Forge Medical Group, LLC (West Orange, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Carroll was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.