MRS. JESSICA RAE CARROLL (NPI# 1689201790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689201790 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA RAE CARROLL |
| Credential | LGPC |
| Practice Address |
7474 Greenway Center Dr Ste 202 Greenbelt MD 20770-3504 |
| Mailing Address |
7474 Greenway Center Dr Ste 700b Greenbelt MD 20770-3523 |
| Practice Telephone | 3012376234 |
| Mailing Telephone | 2403043327 |
| Mailing Fax Number | 2405134155 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LGP10314 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336643188 | Jessica Leigh Carroll | Occupational Therapist | 35278 Richland St, Livonia, MI 48150-2657 | 2018-03-19 |
| 1306222401 | Jessica Elizabeth-rose Carroll | Counselor | 11-3059 Plumeria Street, Mountain View, HI 96771-1570 | 2015-07-31 |
| 1336498443 | Jessica Carolina Carroll | Counselor | 259 E. Oakdale Ave, Crestview, FL 32539 | 2012-09-05 |
| 1548546237 | Jessica B Carroll | Registered Nurse | 814 S Hickory St, Mauston, WI 53948-1923 | 2011-10-26 |
| 1104329598 | Jessica Carroll | Community Health Worker | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2018-03-13 |
| 1780196634 | Jessica Anne Carroll | Student in an Organized Health Care Education/Training Program | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2017-11-01 |
| 1881053767 | Jessica Rachael Carroll | Registered Nurse | 24 Lyman St, Suite 300, Westborough, MA 01581-1482 | 2016-02-19 |
| 1801271663 | Jessica Carroll | Social Worker | 4240 Hunt Rd, Blue Ash, OH 45242-6612 | 2015-07-22 |
| 1720343437 | Jessica Lynn Carroll | Social Worker | 1095 Midway Rd, Menasha, WI 54952-1115 | 2012-07-09 |
| 1750683058 | Jessica Graham Carroll | Nurse Anesthetist, Certified Registered | 1015 Nw 22nd Ave, Anesthesia Dept, Portland, OR 97210-3025 | 2010-11-19 |
| Street Address |
7474 GREENWAY CENTER DR STE 202 |
| City | GREENBELT |
| State | MD |
| Zip Code | 20770-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356809818 | Julie Mahoney | Counselor | 7474 Greenway Center Dr Ste 202, Greenbelt, MD 20770-3504 | 2019-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805405 | Caring Hands Medical Clinic LLC | Nurse Practitioner | 7201 Handover Parkway, Suite B, Greenbelt, MD 20770 | 2020-09-10 |
| 1770107203 | Jeannette Nicole Welds | Social Worker | 7710-303 Hanover Parkway, Greenbelt, MD 20770 | 2020-06-01 |
| 1063032597 | Victory Clinical Research | Specialist | 7212 Hanover Parkway, Suite A, Greenbelt, MD 20770 | 2020-04-24 |
| 1336793884 | Yan Chen | Physician Assistant | 7300 Hanover Drive, Suite 104, Greenbelt, MD 20770 | 2019-08-01 |
| 1245884519 | Antonio Moody | Counselor | 7474 Greenbelt Center Drive, Greenbelt, MD 20770 | 2019-07-25 |
| 1881166494 | Jeniece Edwina Weddington | Speech-Language Pathologist | Eleanor Roosevelt High School- Pgcps, 7601 Hanover Parkway, Greenbelt, MD 20770 | 2018-12-20 |
| 1043797996 | Thomas Mesumbe | Home Health Aide | 6204 Sringhill Drive, Apartment 201, Greenbelt, MD 20770 | 2018-07-24 |
| 1063914554 | Zainab Anita Foday | Home Health Aide | 5923 Cherrywood Terrace Apt 101, Greenbelt, MD 20770 | 2018-03-01 |
| 1619479193 | Nancy Benga | Home Health Aide | 5821 Cherrywood Ln Apt 104 5821 Cherry Wood Ln Apt 104, Greenbelt, MD 20770 | 2018-03-01 |
| 1912407891 | Adoni Healthcare Services, LLC | Clinic/Center | 7525 Greenway Center Dr Ste 316, Greenbelt, MD 20770 | 2018-02-16 |
| Find all providers in zip 20770 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083235329 | Asia Malik | Counselor | 6106 Breezewood Ct Apt 203, Greenbelt, MD 20770-1176 | 2020-04-28 |
| 1356809818 | Julie Mahoney | Counselor | 7474 Greenway Center Dr Ste 202, Greenbelt, MD 20770-3504 | 2019-03-04 |
| 1992248751 | Connie Jones | Counselor | 7303 Hanover Pkwy, Suite C, Greenbelt, MD 20770-2029 | 2016-11-28 |
| 1356710743 | Gilead Lifeworks Behavioral Health Services | Counselor | 8103 Burkart Ct, Greenbelt, MD 20770-2105 | 2015-09-16 |
| 1477854610 | Lillian M Sylvester | Counselor | 7935 Belle Point Dr, Mosaic Expressive Arts Therapies, Greenbelt, MD 20770-3329 | 2010-11-04 |
| 1467760835 | Cynthia Swan | Counselor | 18 Ridge Rd Unit L, Greenbelt, MD 20770-2967 | 2010-09-20 |
| 1699376467 | Jocelyn Freeman | Counselor | 7505 Greenway Center Dr Ste 201, Greenbelt, MD 20770-3507 | 2020-11-06 |
| 1336753029 | Alicia Dunwell | Counselor | 7474 Greenway Center Dr Ste 730, Greenbelt, MD 20770-3523 | 2020-09-01 |
| 1003427386 | Ana Patricia Rivera | Counselor | 7225 Hanover Pkwy Ste C, Greenbelt, MD 20770-2024 | 2020-08-11 |
| 1497375034 | Samaya Christmas | Counselor | 7474 Greenway Center Dr, Greenbelt, MD 20770-3504 | 2020-04-23 |
| Find all providers in GREENBELT | ||||
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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.