ANGELA R CARROLL (NPI# 1306491683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306491683 |
| Entity Type | Individual |
| Full Name | ANGELA R CARROLL |
| Practice Address |
1725 Upton St Defiance OH 43512-2551 |
| Mailing Address |
885 Commerce Dr Perrysburg OH 43551-5267 |
| Practice Telephone | 4197823311 |
| Mailing Telephone | 4193305119 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881016178 | Angela Carroll | Speech-Language Pathologist | 2 Doe Tail Ct, Savannah, GA 31406-5139 | 2014-01-06 |
| 1194017194 | Angela Sueline Carroll | Assisted Living Facility | 6228 W Kaul Ave Apt 1, Milwaukee, WI 53218-1527 | 2011-05-09 |
| 1891933594 | Angela Carroll | Social Worker | 1143 Fairway St Ste 3, Bowling Green, KY 42103-2452 | 2009-02-03 |
| 1437608825 | Angela Carroll | Counselor | 115 4th St S, Great Falls, MT 59401-3618 | 2016-09-26 |
| 1396055893 | Angela Carroll | Counselor | 715 N 1st Ave, Durant, OK 74701-3801 | 2010-10-18 |
| 1366753147 | Angela Y Carroll | Counselor | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2010-06-28 |
| 1154440766 | Angela Carroll | Physical Therapy Assistant | 9119 Shadow Glen Way, Fort Myers, FL 33913-6602 | 2007-03-28 |
| 1184684490 | Angela Mae Carroll | Social Worker | 1165 Union St Ne, Suite 200, Salem, OR 97301-4693 | 2006-03-23 |
| Street Address |
1725 UPTON ST |
| City | DEFIANCE |
| State | OH |
| Zip Code | 43512-2551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598212631 | Christine Plant | Counselor | 1725 Upton St, Defiance, OH 43512-2530 | 2016-09-07 |
| 1497300776 | Courtney L Rogers | Community/Behavioral Health | 1725 Upton St, Defiance, OH 43512-2551 | 2019-08-05 |
| 1215407515 | Julie E Stevens | Community/Behavioral Health | 1725 Upton St, Defiance, OH 43512-2551 | 2018-11-29 |
| 1114408085 | Randi N. Bookenberger | Community/Behavioral Health | 1725 Upton St, Defiance, OH 43512-2551 | 2018-08-28 |
| 1881141604 | Teresa Bauer | Counselor | 1725 Upton St, Defiance, OH 43512-2530 | 2016-09-09 |
| 1225585110 | Andrea Copsey | Counselor | 1725 Upton St, Defiance, OH 43512-2530 | 2016-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174098768 | Dr. Bradley Pittman Dds Ltd. | Oral & Maxillofacial Surgery | 205 E. Second St., Defiance, OH 43512 | 2018-10-10 |
| 1285115147 | Tamara Lynn Junge | Social Worker | 1252 Ralston Avenue, #401, Defiance, OH 43512 | 2018-08-28 |
| 1306207568 | Deborah Lehnert | Licensed Practical Nurse | 511 Perry Street, Defiance, OH 43512 | 2016-03-16 |
| 1265857924 | P & R Home Iv Service, Inc. | Durable Medical Equipment & Medical Supplies | 1018 Ralston Avenue, Suite 107, Defiance, OH 43512 | 2014-03-04 |
| 1609020155 | Christina Marie Pergram | Physician Assistant | 1250 Rlaston Ave, Suite 104, Defiance, OH 43512 | 2008-11-11 |
| 1477740785 | Assisted Living Concepts Inc | Assisted Living Facility | 245 North Rosewood Avenue, Defiance, OH 43512 | 2007-10-01 |
| 1720127863 | Kathy Williams Homier | Counselor | 815 E Second St, Defiance, OH 43512 | 2007-02-05 |
| 1407944960 | Oak Health Care Investors of Defiance, Inc. | Durable Medical Equipment & Medical Supplies | 1701 South Jefferson Ave, Defiance, OH 43512 | 2006-10-10 |
| 1184733719 | Shane Aaron Klingler | Chiropractor | 1770 Jefferson Ave, Defiance, OH 43512 | 2006-08-29 |
| 1396751327 | Elizabeth Marie Seibert | Pharmacist | 1245 E Second St, Defiance, OH 43512 | 2006-07-31 |
| Find all providers in zip 43512 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081913 | Felicia Skeens | Community/Behavioral Health | 201 E 2nd St, Defiance, OH 43512-2290 | 2020-10-20 |
| 1285248146 | Summer Poland | Community/Behavioral Health | 511 Perry St, Defiance, OH 43512-2123 | 2020-09-08 |
| 1497300776 | Courtney L Rogers | Community/Behavioral Health | 1725 Upton St, Defiance, OH 43512-2551 | 2019-08-05 |
| 1275192643 | Thomas J Boals | Community/Behavioral Health | 201 E 2nd St, Defiance, OH 43512-2290 | 2019-06-10 |
| 1558832519 | Emmalyn A Wooley | Community/Behavioral Health | 201 E 2nd St, Defiance, OH 43512-2290 | 2018-12-16 |
| 1215407515 | Julie E Stevens | Community/Behavioral Health | 1725 Upton St, Defiance, OH 43512-2551 | 2018-11-29 |
| 1114408085 | Randi N. Bookenberger | Community/Behavioral Health | 1725 Upton St, Defiance, OH 43512-2551 | 2018-08-28 |
| 1427540343 | Kelley J Foor | Community/Behavioral Health | 201 E 2nd St, Defiance, OH 43512-2290 | 2018-06-06 |
| 1558853465 | David J King | Community/Behavioral Health | 201 E 2nd St, Defiance, OH 43512-2290 | 2018-06-06 |
| 1073019600 | Konni Tracy | Community/Behavioral Health | 206 Perry St, Defiance, OH 43512-2118 | 2018-04-03 |
| Find all providers in DEFIANCE | ||||
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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.