MISS RAQUEL NICHOLE CARROLL (NPI# 1104456946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104456946 |
| Entity Type | Individual |
| Full Name | MISS RAQUEL NICHOLE CARROLL |
| Practice Address |
2007 Wildwood Rd Picayune MS 39466-2178 |
| Mailing Address |
860 E River Pl Ste 100 Jackson MS 39202-3442 |
| Practice Telephone | 7699262657 |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
2007 WILDWOOD RD |
| City | PICAYUNE |
| State | MS |
| Zip Code | 39466-2178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922405349 | Nakia Stickler | Counselor | 2007 Wildwood Rd, Picayune, MS 39466-2178 | 2014-12-01 |
| 1023645769 | Tammy M. Martinez | Counselor | 2007 Wildwood Rd, Picayune, MS 39466-2178 | 2020-03-24 |
| 1063048791 | Rebecca Lynn Webb | Social Worker | 2007 Wildwood Rd, Picayune, MS 39466-2178 | 2020-03-13 |
| 1386290096 | Breanna Delores Moore | Social Worker | 2007 Wildwood Rd, Picayune, MS 39466-2178 | 2019-08-18 |
| 1477113645 | Roddreka Tarnesha Adams | Behavioral Analyst | 2007 Wildwood Rd, Picayune, MS 39466-2178 | 2019-06-19 |
| 1144788084 | Kashunta Lasheri Merritt | Counselor | 2007 Wildwood Rd, Picayune, MS 39466-2178 | 2019-03-11 |
| 1760947386 | Daniel Zane Slade | Counselor | 2007 Wildwood Rd, Picayune, MS 39466 | 2019-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295270684 | Ashley Royerre Talley | Speech-Language Pathologist | 621 W Canal St, Picayune, MS 39466 | 2016-12-21 |
| 1306396213 | Kathy English | Counselor | 102 Roy St, Picayune, MS 39466 | 2016-10-04 |
| 1124379631 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 23350 Highway 43, Picayune, MS 39466 | 2012-09-24 |
| 1578876280 | Joy A. Weidemann | Social Worker | 120 Street A Ste C, Picayune, MS 39466 | 2010-07-22 |
| 1407188477 | Picayune School District | Local Education Agency (LEA) | 706 Goodyear Blvd., Picayune, MS 39466 | 2010-02-02 |
| 1164751079 | Picayune School District Early Head Start | Early Intervention Provider Agency | 1620 Rosa St, Picayune, MS 39466 | 2009-12-24 |
| 1124352505 | Stephanie Deanne Farrell | Speech-Language Pathologist | 201 E. Second Street, Picayune, MS 39466 | 2009-10-01 |
| 1902084007 | Ludwick L Lohnes Dc LLC | Chiropractor | 214 Norwood Street, Picayune, MS 39466 | 2008-01-31 |
| 1932395878 | Prohealth Solutions, Inc | Occupational Therapist | 722 West Canal Street, Picayune, MS 39466 | 2007-09-24 |
| 1669677431 | Terri L Bordelon | Social Worker | 214 N Curran, Suite A, Picayune, MS 39466 | 2007-06-20 |
| Find all providers in zip 39466 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306396213 | Kathy English | Counselor | 102 Roy St, Picayune, MS 39466 | 2016-10-04 |
| 1023645769 | Tammy M. Martinez | Counselor | 2007 Wildwood Rd, Picayune, MS 39466-2178 | 2020-03-24 |
| 1144788084 | Kashunta Lasheri Merritt | Counselor | 2007 Wildwood Rd, Picayune, MS 39466-2178 | 2019-03-11 |
| 1760947386 | Daniel Zane Slade | Counselor | 2007 Wildwood Rd, Picayune, MS 39466 | 2019-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169423 | Chiquita Minor Hampton | Counselor | 3433 Exchange Dr, Jackson, MS 39212-4818 | 2020-09-16 |
| 1710598586 | Candace L. Gillespie | Counselor | 829 W South St, Mound Bayou, MS 38762-9797 | 2020-08-13 |
| 1114537651 | Renee Gusta | Counselor | 2367 Trafalgar Dr, Biloxi, MS 39531-2277 | 2020-08-07 |
| 1003424078 | Marquita Lachette Wilson | Counselor | 315 N Madison St, Kosciusko, MS 39090-3341 | 2020-07-16 |
| 1437773546 | Delissa L Castleberry | Counselor | 7112 Home of Grace Dr, Gautier, MS 39553-2728 | 2020-06-04 |
| 1942820717 | Cindy Marie Lescallette Mccarley | Counselor | 295 Willow Creek Dr, Vicksburg, MS 39183-9288 | 2020-04-22 |
| 1689202178 | Nicole Lynn Yenter | Counselor | 800 Van Buren Ave, Oxford, MS 38655-3844 | 2020-03-30 |
| 1912531005 | Bobbi Burns Burdett | Counselor | 377 Montgomery Rd Sw, Summit, MS 39666 | 2020-02-27 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1760022313 | Kyra Reed | Counselor | 3530a Manor Dr Ste 5, Vicksburg, MS 39180-5693 | 2020-01-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.