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Active NPI 1235194382 Individual Practitioner Male Practitioner

Patrick J. Carroll , MA

Psychologist - Clinical • Willmar, MN

Professional Overview & Biography Verified Profile Summary

Patrick Carroll, MA is a registered healthcare professional specializing in Psychologist - Clinical in Willmar, MN. Practice services are available at 214 4TH ST SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

214 4th St Sw

Willmar, MN 562013330

Telephone 3202356958
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Willmar, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.7 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
28 Specialists

Practicing in Willmar, MN (1595 Statewide)

Telehealth Adoption Rate
10.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License MN LP 1747

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
45119CA

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Michelle Beeman , LPC

Counselor - Professional

NPI 1033269162

Licensed Professional Counselor

Daniel Nelson , MA, LPCC

Counselor - Professional

NPI 1326059197

Master of Arts, Licensed Professional Clinical Counselor

Barbara Zaeska , LICSW

Social Worker - Clinical

NPI 1578574323

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 214 4TH ST SW, WILLMAR, MN 562013330 (Tel: 3202356958)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1525 15TH AVE SW, WILLMAR, MN 562012883 (Tel: 3202356958)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as PATRICK CARROLL, M.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Psychologist (License #LP 1747 in MN)

🟢
Initial NPI Registration & Enumeration April 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235194382
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1525 15th Ave Sw

Willmar, MN 562012883

Phone: 3202356958

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
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