MR. KENNETH SHAUN CARROLL LMHC
NPI 1336903673
Counselor - Mental Health in Commack, NY

Active since February 07, 2024PECOS EnrolledAccepts Medicare Assignment
368 VETERANS MEMORIAL HWY STE 3, COMMACK, NY 11725(631) 533-0315 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2024, Feb 7, 2024 (2 updates tracked since 2024).

About Mr. Kenneth Shaun Carroll Lmhc NPPES

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

MR. KENNETH SHAUN CARROLL LMHC (NPI 1336903673) is an individual mental health provider in Commack, New York, licensed in New York (014227) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1336903673
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KENNETH SHAUN CARROLLCredential: LMHC
Location Address368 VETERANS MEMORIAL HWY STE 3Commack, NY 11725-4322
Mailing Address368 Veterans Memorial Hwy Ste 3Commack, NY 11725-4322 · (631) 533-0315
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 7, 2024
Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
NPI 1336903673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · 014227
368 VETERANS MEMORIAL HWY STE 3, Commack, NY 11725

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

Mr. Kenneth Shaun Carroll Lmhc 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 ID345771697
PECOS Enrollment IDI20240927001222
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 20

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

Counselor (Mental Health)
368 VETERANS MEMORIAL HWY STE 3
COMMACK, NY 11725
Counselor (Mental Health)
368 VETERANS MEMORIAL HWY STE 3
COMMACK, NY 11725
Counselor (Mental Health)
368 VETERANS MEMORIAL HWY STE 3
COMMACK, NY 11725
Counselor (Mental Health)
368 VETERANS MEMORIAL HWY STE 3
COMMACK, NY 11725
Counselor (Mental Health)
368 VETERANS MEMORIAL HWY STE 3
COMMACK, NY 11725
Counselor (Mental Health)
368 VETERANS MEMORIAL HWY STE 3
COMMACK, NY 11725
Counselor (Mental Health)
368 VETERANS MEMORIAL HWY STE 3
COMMACK, NY 11725
Counselor (Mental Health)
368 VETERANS MEMORIAL HWY STE 3
COMMACK, NY 11725

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 Kenneth Carroll's NPI number?

The NPI number for Kenneth Carroll is 1336903673. It was assigned to this individual provider in the NPPES registry on February 7, 2024.

Where is Kenneth Carroll located?

Kenneth Carroll practices at 368 Veterans Memorial Hwy Ste 3, Commack, NY 11725. The listed phone number is (631) 533-0315.

What is Kenneth Carroll's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kenneth Carroll enrolled in Medicare?

Yes. Kenneth 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 Kenneth Carroll was last updated on September 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.