MRS. JESSICA CARROLL LPC-R
NPI 1780370726
Counselor - Mental Health in Fredericksburg, VA
NPI Status: Active since April 13, 2023
Contact Information
2201 CHARLES ST STE 105
FREDERICKSBURG, VA
ZIP 22401
Phone: (540) 845-6940
- Individual
- Female
- Years of Experience 6
- Counselor
- Mental Health
- May Accept Medicare Approved Payment
- PECOS Enrolled
About JESSICA CARROLL
This page provides the complete NPI Profile along with additional information for Jessica Carroll, a provider established in Fredericksburg, Virginia with a medical specialization in Counselor, focusing in mental health and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1780370726 assigned on April 2023. The practitioner's primary taxonomy code is 101YM0800X with license number 0704013942 (VA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1780370726
- Provider Name
- MRS. JESSICA CARROLL LPC-R
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2201 CHARLES ST STE 105 FREDERICKSBURG, VA 22401
- Location Phone
- (540) 845-6940
- Mailing Address
- 3621 N ROCK CREEK DR FREDERICKSBURG, VA 22407
- Mailing Phone
- (540) 222-5117
- Medical School Name
- OTHER
- Graduation Year
- 2020
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-13-2023
- Last Update Date
- 04-13-2023
- Code Navigator
A mental health counselor like Jessica Carroll provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 0704013942
- License State
- VA
Medicare Participation & PECOS Enrollment Status
Jessica Carroll is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Jessica Carroll is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4688197742
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250328002744
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 8 | 0 | 3 | 7 | 0 | 7 | 2 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 16 | 0 | 6 | 7 | 0 | 7 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 6 + 0 + 6 + 7 + 0 + 7 + 4 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1780370726 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1366190183 | ALEKSANDRA STARTEK Individual | Counselor (Mental Health) | 2201 CHARLES ST STE 105 FREDERICKSBURG, VA 22401 (540) 845-6940 |
1780395178 | MRS. SHELTON PILAND POULTER MSW, LCSW Individual | Social Worker (Clinical) | 2201 CHARLES ST STE 105 FREDERICKSBURG, VA 22401 (540) 845-6940 |
1386407559 | DIANA DEL CID Individual | Student in an Organized Health Care Education/Training Program | 2201 CHARLES ST STE 105 FREDERICKSBURG, VA 22401 (540) 845-6940 |
1427537968 | JORDYN SHAFFER MT-BC, R-MFT Individual | Marriage & Family Therapist | 2201 CHARLES ST STE 105 FREDERICKSBURG, VA 22401 (540) 845-6940 |
1821822958 | NINA LORRAINE HARVEY-BOLDEN Individual | Counselor (Mental Health) | 2201 CHARLES ST STE 105 FREDERICKSBURG, VA 22401 (540) 845-6940 |
1336976877 | TIANA KEMP Individual | Student in an Organized Health Care Education/Training Program | 2201 CHARLES ST STE 105 FREDERICKSBURG, VA 22401 (540) 845-6940 |
1760202923 | CARLA NOELLE SYKES Individual | Counselor (Professional) | 2201 CHARLES ST STE 105 FREDERICKSBURG, VA 22401 (540) 845-6940 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780370726, enumerated in the NPI registry as an "individual" on April 13, 2023
The provider is located at 2201 Charles St Ste 105 Fredericksburg, Va 22401 and the phone number is (540) 845-6940
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
The provider has more than 6 years of experience.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on April 13, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.