Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Elizabeth Carroll

Individual provider Marriage & Family Therapist · NPI 1629560784

Jacqueline Elizabeth Carroll is a Marriage and Family Therapist in Jersey City, New Jersey. Qualified in 2019, 7 years ago. Practices with Forge Medical Group, LLC, a 34-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

444 Warren St Apt 357
Jersey City, NJ 07302-7201
Phone: (551) 655-0006
Fax: (201) 567-9335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 37FA00015600 (NJ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1629560784
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2018
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Forge Medical Group, Llc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Jersey City