CHARLES W CARROLL PSYCHOTHERAPIST PC
NPI 1174220511
Counselor - Mental Health in New Bedford, MA
About Charles W Carroll Psychotherapist Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES W CARROLL PSYCHOTHERAPIST PC (NPI 1174220511) is a healthcare organization registered as a mental health in New Bedford, Massachusetts and active in the NPI registry since February 2023. The organization lists Charles Carroll, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charles W Carroll Psychotherapist Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Charles W Carroll Psychotherapist PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Charles W Carroll Psychotherapist PC's NPI number?
The NPI number for Charles W Carroll Psychotherapist PC is 1174220511. It was assigned to this organization in the NPPES registry on February 15, 2023.
Where is Charles W Carroll Psychotherapist PC located?
Charles W Carroll Psychotherapist PC is located at 4334 Acushnet Ave, New Bedford, MA 02745. The listed phone number is (508) 995-6864.
What is Charles W Carroll Psychotherapist PC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Charles W Carroll Psychotherapist PC enrolled in Medicare?
Yes. Charles W Carroll Psychotherapist PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Charles W Carroll Psychotherapist PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Charles W Carroll Psychotherapist PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Charles W Carroll Psychotherapist PC accept?
Health plans from Anthem Blue Cross and Blue Shield list Charles W Carroll Psychotherapist PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Charles W Carroll Psychotherapist PC was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Charles W Carroll Psychotherapist Pc · NPI 1174220511
Mental Health organization in New Bedford, Massachusetts. Organization record, active in the CMS NPPES registry since February 15, 2023.
## Identity
- **NPI:** 1174220511 (Entity type: Organization)
- **Enumerated:** February 15, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Charles Carroll, OWNER
## Practice location
- **Address:** 4334 ACUSHNET AVE, New Bedford, MA 02745-4614
- **Phone:** (508) 995-6864
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 15, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1174220511) · Data from the CMS NPPES public registry.