MS. FALLON MICHELLE CARNES MSW, LCSW
NPI 1225556871
Social Worker - Clinical in Nicholasville, KY

Q: What is Fallon Carnes's NPI number?

The NPI number for Fallon Carnes is 1225556871. It was assigned to this individual provider in the NPPES registry on September 5, 2017.

Q: What is Fallon Carnes's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Fallon Carnes was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since September 05, 2017PECOS Enrolled

506 N MAIN ST, NICHOLASVILLE, KY 40356(833) 510-4357(866) 460-2997 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 30, 2025, Jul 13, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2018).

On this page

About Ms. Fallon Michelle Carnes Msw, Lcsw NPPES

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

MS. FALLON MICHELLE CARNES MSW, LCSW (NPI 1225556871) is an individual clinical provider in Nicholasville, Kentucky, licensed in Kentucky (256226) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Danville.

NPPES Registry Identity

NPI1225556871

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. FALLON MICHELLE CARNESCredential: MSW, LCSW

Location Address506 N MAIN STNicholasville, KY 40356-1134

Mailing Address4600 Montgomery RdCincinnati, OH 45212-2697 · (833) 510-4357 · Fax (866) 460-2997

Phone(833) 510-4357

Fax(866) 460-2997

Sole ProprietorNo

Enumeration DateSeptember 5, 2017

Last NPPES UpdateJune 30, 20254 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1225556871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in KY · 256226

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 253109 (KY)

506 N MAIN ST, Nicholasville, KY 40356

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Secondary Practice Location 1

Location 1106 Belinda Blvd.Danville, KY 40422 · Phone (859) 209-2320 ext. 2326 · Fax (859) 209-4278

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Fallon Michelle Carnes Msw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Fallon Carnes reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

All Together Recovery

19 mi

Substance Abuse Rehabilitation Facility

117 LETTON DR
Danville, KY 40422

Reassigned Medicare billing, Kentucky enrollment
8 clinicians in this Medicare group

NPI 1578388344 (859) 353-0321

Heal Together Counseling Center

20 mi

Psychiatric/Mental Health

975 HUSTONVILLE RD STE 1
Danville, KY 40422

Reassigned Medicare billing, Kentucky enrollment
8 clinicians in this Medicare group

NPI 1568269769 (859) 347-9891

Isaiah House, Inc.

31 mi

Substance Abuse Rehabilitation Facility

2084 MAIN ST
Willisburg, KY 40078

Reassigned Medicare billing, Kentucky enrollment
72 clinicians in this Medicare group

NPI 1396086559 (859) 375-9200

Brightview, LLC

86 mi

Addiction Medicine

446 MORGAN ST
Cincinnati, OH 45206

Reassigned Medicare billing, Kentucky enrollment
109 clinicians in this Medicare group

NPI 1659769446 (513) 834-7063

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40356 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.76 – $162.27

Typical copayment $0.00 (range $13.19 – $40.56)

Most-billed visit code NA

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MRS. DINAH JEAN WALKER LPCA

Counselor (Professional)

506 N MAIN ST
NICHOLASVILLE, KY 40356

Jessamine County (833) 510-4357

MRS. PATRICIA RENE THOMPSON CADC, CAC

Counselor (Addiction (Substance Use Disorder))

506 N MAIN ST
NICHOLASVILLE, KY 40356

Jessamine County (833) 510-4357

SHELBI WATTS APRN

Nurse Practitioner (Psychiatric/Mental Health)

506 N MAIN ST
NICHOLASVILLE, KY 40356

Jessamine County (833) 510-4357

DR. TIMOTHY C. SUNDA, D.C., P.S.C.

Chiropractor

506 N MAIN ST, SUITE A
NICHOLASVILLE, KY 40356

Jessamine County (859) 887-3140

DANIELLE SKELLY

Counselor (Addiction (Substance Use Disorder))

506 N MAIN ST
NICHOLASVILLE, KY 40356

Jessamine County (833) 510-4357

KELSEE BROOKE BURCHFIELD LPN

Licensed Practical Nurse

506 N MAIN ST
NICHOLASVILLE, KY 40356

Jessamine County (833) 510-4357

DR. TIMOTHY CLARK SUNDA D.C.

Chiropractor

506 N MAIN ST, SUITE A
NICHOLASVILLE, KY 40356

Jessamine County (859) 887-3140

KELCI HIGGINS LCADC, CSW

Counselor (Addiction (Substance Use Disorder))

506 N MAIN ST
NICHOLASVILLE, KY 40356

Jessamine County (833) 510-4357

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 Fallon Carnes's NPI number?

The NPI number for Fallon Carnes is 1225556871. It was assigned to this individual provider in the NPPES registry on September 5, 2017.

Where is Fallon Carnes located?

Fallon Carnes practices at 506 N Main St, Nicholasville, KY 40356. The listed phone number is (833) 510-4357.

What is Fallon Carnes's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Fallon Carnes enrolled in Medicare?

Yes. Fallon Carnes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Fallon Carnes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fallon Carnes reassigns Medicare benefits to 4 organizations: All Together Recovery (Danville, KY), Heal Together Counseling Center (Danville, KY), Isaiah House, Inc. (Willisburg, KY) and Brightview, LLC (Cincinnati, OH). Each 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 Fallon Carnes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fallon Carnes accept?

Health plans from Anthem Blue Cross and Blue Shield list Fallon Carnes 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 Fallon Carnes was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.