Active NPIIndividual providerSole proprietor

John Carroll

Counselor in Kingston, New York

NPI Number1487464509
Practice location
168 Cornell St Ste 201, Kingston, NY 12401-3652
Fax
203-577-9835
Last updated
January 14, 2025

John Carroll is a Counselor based in Kingston, NY. John Carroll practices in Kingston, NY. The NPI Number for John Carroll is 1487464509 and holds a License No. P133253 (NY). The current practice location address for John Carroll is 168 Cornell St Ste 201, Kingston, NY 12401-3652 and can be reached out via phone at 203-577-9835 and via fax at 203-577-9835.

Provider Profile Details

NPI Number
1487464509
Provider Name
John Carroll
Provider Entity Type
Individual
Gender
Male
Address
168 Cornell St Ste 201, Kingston, NY 12401-3652
Phone Number
203-577-9835
Fax Number
203-577-9835
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 10, 2025
Last Update Date
January 14, 2025
Certification Date
January 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
168 Cornell St Ste 201
Kingston, NY 12401-3652
Zip
12401-3652
Phone Number
203-577-9835
Fax Number
203-577-9835
Kingston, NY 12401Get directions →

Provider Business Mailing Address Details

Address
Po Box 255
Housatonic, MA 01236-0255
City
Housatonic
State
MA
Zip
01236-0255
Phone Number
203-577-9835

License Information

License Number
P133253
License State
NY
Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of John Carroll?

The NPI number of John Carroll is 1487464509. It was assigned on January 10, 2025 and is currently active in the NPPES registry.

What is the specialty of John Carroll?

John Carroll is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in NY under license number P133253.

Where does John Carroll practice?

The practice location is 168 Cornell St Ste 201, Kingston, NY 12401-3652. The office can be reached at 203-577-9835 (phone) or 203-577-9835 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487464509 directly on the NPPES registry website.

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