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MRS. KIMBERLY DAWN CARROLL MA
NPI 1225532062
Counselor - Professional in Pounding Mill, VA

Active since March 19, 2018PECOS EnrolledAccepts Medicare Assignment
220 CLAY DR, POUNDING MILL, VA 24637(276) 963-3606 Get Directions Write a Review

NPPES record last updated: March 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kimberly Dawn Carroll Ma NPPES

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

MRS. KIMBERLY DAWN CARROLL MA (NPI 1225532062) is an individual professional provider in Pounding Mill, Virginia, licensed in Virginia (0701007460) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1225532062
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KIMBERLY DAWN CARROLLCredential: MA
Location Address220 CLAY DRPounding Mill, VA 24637-4320
Mailing Address3855 Dc Caney Ridge RdClintwood, VA 24228-7861 · (276) 393-2367
Phone(276) 963-3606
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 19, 2018
✔ NPI 1225532062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701007460
220 CLAY DR, Pounding Mill, VA 24637
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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

Mrs. Kimberly Dawn Carroll Ma 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 ID244678258
PECOS Enrollment IDI20240424000892
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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JERRY DWAYNE STURGILL LPC
Counselor (Mental Health)
220 CLAY DR
POUNDING MILL, VA 24637
Tazewell County (276) 963-3606
HEATHER LYNCH LPC
Counselor (Professional)
220 CLAY DR
POUNDING MILL, VA 24637
Tazewell County (276) 963-3606
ASHLEY N KEENE
Counselor (Professional)
220 CLAY DR
POUNDING MILL, VA 24637
Tazewell County (276) 963-3606
ROBIN JILLIAN LESTER
Counselor (Professional)
220 CLAY DR
POUNDING MILL, VA 24637
Tazewell County (276) 963-3606
AUDRA BETH BROWN LPC
Counselor (Professional)
220 CLAY DR
POUNDING MILL, VA 24637
Tazewell County (304) 887-8889
JENNIFER BROOKE SARVER LPC
Counselor (Mental Health)
220 CLAY DR
POUNDING MILL, VA 24637
Tazewell County (276) 963-3606
MRS. ANGELA SUE MEADE LPC
Counselor (Professional)
220 CLAY DR
POUNDING MILL, VA 24637
Tazewell County (276) 963-3606
AMANDA CAITLIN LEE
Counselor (Mental Health)
220 CLAY DR
POUNDING MILL, VA 24637
Tazewell County (276) 963-3606

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 Kimberly Carroll's NPI number?

The NPI number for Kimberly Carroll is 1225532062. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Kimberly Carroll located?

Kimberly Carroll practices at 220 Clay Dr, Pounding Mill, VA 24637. The listed phone number is (276) 963-3606.

What is Kimberly Carroll's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kimberly Carroll enrolled in Medicare?

Yes. Kimberly Carroll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kimberly Carroll was last updated on March 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.