ANGELA Y CARROLL (NPI# 1366753147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366753147 |
| Entity Type | Individual |
| Full Name | ANGELA Y CARROLL |
| Credential | MA, LPC |
| Practice Address |
1050 Ribaut Rd Beaufort SC 29902-5400 |
| Practice Telephone | 8435243378 |
| Mailing Telephone | 8435243378 |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2016-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
5560 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 121328 | 05 |
| 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 |
| 1306491683 | Angela R Carroll | Community/Behavioral Health | 1725 Upton St, Defiance, OH 43512-2551 | 2019-08-05 |
| 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 |
| 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 |
1050 RIBAUT RD |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912934191 | Carl William Brune | Psychiatry & Neurology | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2006-06-26 |
| 1821699281 | Maria Francesca Beyer | Counselor | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2020-11-03 |
| 1770119166 | David E Sanders | Counselor | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2020-03-17 |
| 1093354342 | Junetta L Williams | Counselor | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2020-01-03 |
| 1831738418 | Maria Tesu Barber | Counselor | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2019-12-31 |
| 1063058535 | Kristian Hall | Counselor | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2019-11-20 |
| 1144863077 | Wendy Santiago | Nurse Practitioner | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2019-10-23 |
| 1356997431 | Orisbel Fernandez | Counselor | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2019-08-14 |
| 1932755386 | Gene C Keener | Counselor | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2019-08-12 |
| 1588219869 | Shalina Lee | Case Manager/Care Coordinator | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2019-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| Find all providers in zip 29902 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1891217253 | Karen S Manspeaker | Counselor | 437 Tuttles Grove Road, Beaufort, NC 28516-2856 | 2017-07-07 |
| 1841607165 | Myunghee Kim Nelson | Counselor | 1211 Harrington St, Beaufort, SC 29902-4179 | 2014-07-18 |
| 1437395969 | Heather L Coker | Counselor | 62 Possum Hill Rd, Beaufort, SC 29906 | 2009-01-06 |
| 1245438712 | Glynis Macarthur Matthews | Counselor | 14 Chesterfield Dr, Beaufort, SC 29906-9006 | 2007-07-06 |
| 1053518902 | Blanche Daw Douglas | Counselor | 10 Wade Hampton Dr, Beaufort, SC 29907-1912 | 2007-07-02 |
| 1922183847 | Maureen Butterworth | Counselor | 106 West St. Extension, Suite B, Beaufort, SC 29902-8502 | 2006-10-26 |
| 1871686527 | Carolyn Goode | Counselor | 1050 Ribaut Road, Beaufort, SC 29902 | 2006-10-02 |
| 1154424497 | Daniel W. Sullivan | Counselor | 62 Possum Hill Road, Beaufort, SC 29902 | 2006-09-05 |
| 1821699281 | Maria Francesca Beyer | Counselor | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2020-11-03 |
| Find all providers in BEAUFORT | ||||
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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.