DR. JACQUELINE CARROLL LMHC NPI 1851431258

NPI Information

NPI: 1851431258
Provider Name: DR. JACQUELINE CARROLL, LMHC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address: 3901 N COLLEGE AVE
SUITE 135
INDIANAPOLIS, IN
ZIP 46205
Phone: (317) 931-8018

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NPI Details

DR. Jacqueline Carroll, LMHC is a counselor in Indianapolis, IN. The provider is 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. DR. Jacqueline Carroll, LMHC NPI is 1851431258. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3901 N COLLEGE AVE
SUITE 135
INDIANAPOLIS, IN
ZIP 46205-734
Phone: (317) 931-8018
Fax: (317) 931-0943

The enumeration date for this NPI number is 2/7/2007 and was last updated on 2/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	3900022A	INDIANA	No
2	101YP1600X	Counselor	Pastoral	39000822A	INDIANA	No
3	101YP2500X	Counselor	Professional	39000822A	INDIANA	No
4	101Y00000X	Counselor		39000822A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300022920	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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