DERRICK LEIGHTON CARROLL LPC
NPI 1245710045
Counselor - Professional in Lebanon, MO

Active since August 21, 2018PECOS EnrolledAccepts Medicare Assignment
860 LYNN ST, LEBANON, MO 65536(888) 403-1071 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2026, Aug 21, 2018 (2 updates tracked since 2018).

About Derrick Leighton Carroll Lpc NPPES

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

DERRICK LEIGHTON CARROLL LPC (NPI 1245710045) is an individual professional provider in Lebanon, Missouri, licensed in Missouri (2015039926) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in West Plains, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1245710045
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDERRICK LEIGHTON CARROLLCredential: LPC
Location Address860 LYNN STLebanon, MO 65536-3810
Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 21, 2018
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1245710045 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 MO · 2015039926
860 LYNN ST, Lebanon, MO 65536

Secondary Practice Location 1

Location 11211 Porter Wagoner Blvd # 23West Plains, MO 65775-1826 · Phone (417) 256-9111

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derrick Leighton Carroll Lpc 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 ID941658272
PECOS Enrollment IDI20231128001434
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

2

Medicare enrollment records show Derrick Carroll reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
500 E 19TH ST
Mountain Grove, MO 65711
  • Reassigned Medicare billing, Missouri enrollment
  • 338 clinicians in this Medicare group
Community/Behavioral Health
1800 COMMUNITY
Clinton, MO 64735
  • Reassigned Medicare billing, Missouri enrollment
  • 968 clinicians in this Medicare group

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

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.

Counselor (Mental Health)
860 LYNN ST
LEBANON, MO 65536
Psychiatry & Neurology (Psychiatry)
860 LYNN ST
LEBANON, MO 65536
Dentist
860 LYNN ST
LEBANON, MO 65536
Counselor (Professional)
860 LYNN ST
LEBANON, MO 65536
Counselor (Professional)
860 LYNN ST
LEBANON, MO 65536
Social Worker (Clinical)
860 LYNN ST
LEBANON, MO 65536
Counselor (Mental Health)
860 LYNN ST
LEBANON, MO 65536
Counselor (Mental Health)
860 LYNN ST
LEBANON, MO 65536

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 Derrick Carroll's NPI number?

The NPI number for Derrick Carroll is 1245710045. It was assigned to this individual provider in the NPPES registry on August 21, 2018.

Where is Derrick Carroll located?

Derrick Carroll practices at 860 Lynn St, Lebanon, MO 65536. The listed phone number is (888) 403-1071.

What is Derrick Carroll's specialty?

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

Is Derrick Carroll enrolled in Medicare?

Yes. Derrick 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.

Which organizations bill Medicare for Derrick Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derrick Carroll reassigns Medicare benefits to 2 organizations: Ozarks Medical Center (Mountain Grove, MO) and Compass Health, Inc (Clinton, MO). 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 Derrick Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derrick Carroll accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Derrick Carroll 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 Derrick Carroll was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.