CHRISTIAN CARROLL
NPI 1407364375
Counselor - Professional in North Wales, PA

Active since January 13, 2018PECOS Enrolled
108 CHAPS WAY, NORTH WALES, PA 19454(202) 709-8461 Get Directions Write a Review

NPPES record last updated: January 13, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Christian Carroll NPPES

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

CHRISTIAN CARROLL (NPI 1407364375) is an individual professional provider in North Wales, Pennsylvania, licensed in Pennsylvania (PC010124) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407364375
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCHRISTIAN CARROLL
Location Address108 CHAPS WAYNorth Wales, PA 19454-4236
Mailing Address108 Chaps WayNorth Wales, PA 19454-4236
Sole ProprietorYes
Enumeration DateJanuary 13, 2018
✔ NPI 1407364375 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 PA · PC010124
108 CHAPS WAY, North Wales, PA 19454

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christian Carroll 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 Reassignment

Medicare enrollment records show Christian Carroll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Delaware and Georgia enrollments
  • 235 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.

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 Christian Carroll's NPI number?

The NPI number for Christian Carroll is 1407364375. It was assigned to this individual provider in the NPPES registry on January 13, 2018.

Where is Christian Carroll located?

Christian Carroll practices at 108 Chaps Way, North Wales, PA 19454. The listed phone number is (202) 709-8461.

What is Christian Carroll's specialty?

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

Is Christian Carroll enrolled in Medicare?

Yes. Christian Carroll is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Christian Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christian Carroll reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Christian Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Christian Carroll accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Christian 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 Christian Carroll was last updated on January 13, 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.