MRS. JESSICA RAE CARROLL LCPC
NPI 1689201790
Counselor - Professional in Lanham, MD

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
8118 GOOD LUCK RD, LANHAM, MD 20706(301) 552-5187 Get Directions Write a Review

NPPES record last updated: July 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 30, 2022, Mar 26, 2020 (2 updates tracked since 2020).

About Mrs. Jessica Rae Carroll Lcpc NPPES

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

MRS. JESSICA RAE CARROLL LCPC (NPI 1689201790) is an individual professional provider in Lanham, Maryland, licensed in Maryland (LGP10314) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Luminis Health Doctors Community Medical Ctr, Inc, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1689201790
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. JESSICA RAE CARROLLCredential: LCPC
Location Address8118 GOOD LUCK RDLanham, MD 20706-3574
Mailing Address906 White WayLaurel, MD 20707-3844 · (301) 237-6234
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 26, 2020
Last NPPES UpdateJuly 30, 20222 updates tracked since enumeration
NPPES CertifiedJuly 30, 2022
NPI 1689201790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MD · LGP10314
8118 GOOD LUCK RD, Lanham, MD 20706

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jessica Rae Carroll Lcpc 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 ID1456793264
PECOS Enrollment IDI20240524001711
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Luminis Health Doctors Community Medical Ctr, Inc

Acute Care Hospitals · Lanham, MD
2/5 CMS rating
OwnershipProprietary
CMS Certification Number210051
Location8118 Good Luck RoadLanham, MD 20706 · Prince Georges County
Emergency services

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.

Obstetrics & Gynecology
8118 GOOD LUCK RD
LANHAM, MD 20706
Pathology (Anatomic Pathology & Clinical Pathology)
8118 GOOD LUCK RD
LANHAM, MD 20706
Substance Abuse Rehabilitation Facility
8118 GOOD LUCK RD
LANHAM, MD 20706
Internal Medicine
8118 GOOD LUCK RD
LANHAM, MD 20706
Physician Assistant (Medical)
8118 GOOD LUCK RD
LANHAM, MD 20706
Neurological Surgery
8118 GOOD LUCK RD
LANHAM, MD 20706
Nurse Practitioner (Psychiatric/Mental Health)
8118 GOOD LUCK RD
LANHAM, MD 20706
Emergency Medicine
8118 GOOD LUCK RD
LANHAM, MD 20706

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 1689201790. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Jessica Carroll located?

Jessica Carroll practices at 8118 Good Luck Rd, Lanham, MD 20706. The listed phone number is (301) 552-5187.

What is Jessica Carroll's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jessica Carroll enrolled in Medicare?

Yes. Jessica 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.

Is Jessica Carroll affiliated with any hospitals?

According to CMS data, Jessica Carroll is affiliated with Luminis Health Doctors Community Medical Ctr, Inc.

When was this NPI record last updated?

The NPPES record for Jessica Carroll was last updated on July 30, 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.