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JONATHAN LEE CARROLL
NPI 1972126704
Case Manager/Care Coordinator in Wasilla, AK

Active since May 27, 2020
1363 W SPRUCE AVE, WASILLA, AK 99654(907) 376-2411(907) 352-3373 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonathan Lee Carroll NPPES

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

JONATHAN LEE CARROLL (NPI 1972126704) is an individual case manager/care coordinator provider in Wasilla, Alaska and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1972126704
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJONATHAN LEE CARROLL
Location Address1363 W SPRUCE AVEWasilla, AK 99654-5327
Mailing Address580 W Roy Rd Apt 2Wasilla, AK 99654-3258 · (907) 775-5684
Phone(907) 376-2411
Fax(907) 352-3373
Sole ProprietorNo
Enumeration DateMay 27, 2020
NPPES CertifiedMay 27, 2020
✔ NPI 1972126704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1363 W SPRUCE AVE, Wasilla, AK 99654
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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.

PARIS TAYLOR LCSW-C
Counselor (Mental Health)
1363 W SPRUCE AVE
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2411
MS. LISA BOUYEA-FRANCIES APRN-FNP
Nurse Practitioner (Family)
1363 W SPRUCE AVE
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2411
LINDA LEE SHEPARD
Case Manager/Care Coordinator
1363 W SPRUCE AVE
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2411
MS. LORI ANN PETAL
Peer Specialist
1363 W SPRUCE AVE
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2411
DR. HEIDI ANN KOSLO DNP, APRN, FNP-BC
Nurse Practitioner (Family)
1363 W SPRUCE AVE
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2411
MISS ROBIN BAYARD HUGHES LMSW
Social Worker (Clinical)
1363 W SPRUCE AVE
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2411
APRIL E CHEEK
Peer Specialist
1363 W SPRUCE AVE
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 521-2835
JEWELL DOUGLAS BRADFORD
Peer Specialist
1363 W SPRUCE AVE
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2411

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 Jonathan Carroll's NPI number?

The NPI number for Jonathan Carroll is 1972126704. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Jonathan Carroll located?

Jonathan Carroll practices at 1363 W Spruce Ave, Wasilla, AK 99654. The listed phone number is (907) 376-2411.

What is Jonathan Carroll's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jonathan Carroll was last updated on May 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.