MS. JENAFIER AE CARROLL LPCC-S, LCADC - NPI 1093959223

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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About Ms. Jenafier Ae Carroll Lpcc-s, Lcadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JENAFIER AE CARROLL LPCC-S, LCADC (NPI 1093959223) is an individual professional provider in Elizabethtown, Kentucky, licensed in Kentucky (105389) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1093959223

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. JENAFIER AE CARROLLCredential: LPCC-S, LCADC

Location Address1106 TUNNEL HILL RD STE 100Elizabethtown, KY 42701-8067

Mailing Address1106 Tunnel Hill Rd Ste 100Elizabethtown, KY 42701-8067 · (270) 765-2335 · Fax (270) 765-2557

Phone(270) 765-2335

Fax(270) 765-2557

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateMay 1, 2009

Last NPPES UpdateMay 18, 20222 updates tracked since enumeration

NPPES CertifiedApril 19, 2022

✔ NPI 1093959223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in KY · 105389

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 166324 (KY)

1106 TUNNEL HILL RD STE 100, Elizabethtown, KY 42701

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jenafier Ae Carroll Lpcc-s, Lcadc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527336973

PECOS Enrollment IDI20241212001737

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.