MRS. JESSICA CARROLL
NPI 1821466384
Counselor in Lowell, MA

Active since September 14, 2015PECOS EnrolledAccepts Medicare Assignment
22 OLD CANAL DR, LOWELL, MA 01851(617) 356-7690 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Jessica Carroll NPPES

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

MRS. JESSICA CARROLL (NPI 1821466384) is an individual counselor in Lowell, Massachusetts and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1821466384
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. JESSICA CARROLL
Location Address22 OLD CANAL DRLowell, MA 01851-2730
Mailing Address22 Old Canal DrLowell, MA 01851-2730 · (617) 356-7690
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 14, 2015
Last NPPES UpdateNovember 16, 2023
NPPES CertifiedNovember 16, 2023
✔ NPI 1821466384 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.
22 OLD CANAL DR, Lowell, MA 01851

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

Mrs. Jessica 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 ID1254784234
PECOS Enrollment IDI20240125002878
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 Jessica Carroll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
1115 W CHESTNUT ST
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 120 clinicians in this Medicare group

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

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.

Licensed Practical Nurse
22 OLD CANAL DR
LOWELL, MA 01851
Social Worker (Clinical)
22 OLD CANAL DR
LOWELL, MA 01851
Student in an Organized Health Care Education/Training Program
22 OLD CANAL DR
LOWELL, MA 01851
Counselor
22 OLD CANAL DR
LOWELL, MA 01851
Behavior Technician
22 OLD CANAL DR
LOWELL, MA 01851
Counselor
22 OLD CANAL DR
LOWELL, MA 01851
Counselor (Mental Health)
22 OLD CANAL DR
LOWELL, MA 01851
Physical Therapist
22 OLD CANAL DR
LOWELL, MA 01851

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 1821466384. It was assigned to this individual provider in the NPPES registry on September 14, 2015.

Where is Jessica Carroll located?

Jessica Carroll practices at 22 Old Canal Dr, Lowell, MA 01851. The listed phone number is (617) 356-7690.

What is Jessica Carroll's specialty?

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

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.

Which organization bills Medicare for Jessica Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Carroll reassigns Medicare benefits to Sb Transitional Sub, LLC (Brockton, MA). 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 Jessica 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 Jessica Carroll was last updated on November 16, 2023. 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.