KEVIN LEMUEL FAULKENBERRY LMSW
NPI 1477725968
Counselor - Mental Health in Rock Hill, SC

Active since March 25, 2008PECOS Enrolled
2025 EBENEZER RD, SUITE J-2, ROCK HILL, SC 29732(803) 366-2525(803) 366-2527 Get Directions Write a Review

NPPES record last updated: March 25, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kevin Lemuel Faulkenberry Lmsw NPPES

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

KEVIN LEMUEL FAULKENBERRY LMSW (NPI 1477725968) is an individual mental health provider in Rock Hill, South Carolina, licensed in South Carolina (8647) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477725968
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEVIN LEMUEL FAULKENBERRYCredential: LMSW
Location Address2025 EBENEZER RD, SUITE J-2Rock Hill, SC 29732-1062
Mailing Address2025 Ebenezer Rd, Suite J-2Rock Hill, SC 29732-1062 · (803) 366-2525 · Fax (803) 366-2527
Fax(803) 366-2527
Sole ProprietorNo
Enumeration DateMarch 25, 2008
✔ NPI 1477725968 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 SC · 8647
2025 EBENEZER RD, Rock Hill, SC 29732

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)

Kevin Lemuel Faulkenberry Lmsw 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 Kevin Faulkenberry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
4711 FOREST DR STE 3
Columbia, SC 29206
  • Reassigned Medicare billing, South Carolina enrollment
  • 16 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 10

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

Home Health
2025 EBENEZER RD, L
ROCK HILL, SC 29732
Massage Therapist
2025 EBENEZER RD, SUITE E
ROCK HILL, SC 29732
Counselor (Mental Health)
2025 EBENEZER RD, SUITE C
ROCK HILL, SC 29732
Counselor (Professional)
2025 EBENEZER RD
ROCK HILL, SC 29732
Social Worker (Clinical)
2025 EBENEZER RD, SUITE J-2
ROCK HILL, SC 29732
Psychiatry & Neurology (Psychiatry)
2025 EBENEZER RD, SUITE I
ROCK HILL, SC 29732
Community/Behavioral Health
2025 EBENEZER RD, SUITE J-2
ROCK HILL, SC 29732
Counselor (Professional)
2025 EBENEZER RD, K-5
ROCK HILL, SC 29732

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 Kevin Faulkenberry's NPI number?

The NPI number for Kevin Faulkenberry is 1477725968. It was assigned to this individual provider in the NPPES registry on March 25, 2008.

Where is Kevin Faulkenberry located?

Kevin Faulkenberry practices at 2025 Ebenezer Rd Suite J-2, Rock Hill, SC 29732. The listed phone number is (803) 366-2525.

What is Kevin Faulkenberry's specialty?

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

Is Kevin Faulkenberry enrolled in Medicare?

Yes. Kevin Faulkenberry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Faulkenberry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Faulkenberry reassigns Medicare benefits to Premier Counseling (Columbia, SC). 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 Kevin Faulkenberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Faulkenberry accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and UnitedHealthcare list Kevin Faulkenberry 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 Kevin Faulkenberry was last updated on March 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.