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KANE CARLOCK LMHCA
NPI 1558062430
Counselor in Renton, WA

Active since March 16, 2023PECOS EnrolledAccepts Medicare Assignment
200 S 2ND ST, RENTON, WA 98057(425) 226-5536 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 27, 2023, Mar 20, 2023, Mar 16, 2023 (3 updates tracked since 2023).

About Kane Carlock Lmhca NPPES

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

KANE CARLOCK LMHCA (NPI 1558062430) is an individual counselor in Renton, Washington, licensed in Washington (MC61422758) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Renton, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1558062430
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKANE CARLOCKCredential: LMHCA
Location Address200 S 2ND STRenton, WA 98057-2011
Mailing Address955 Powell Ave SwRenton, WA 98057-2908 · (425) 277-1311 · Fax (425) 277-1566
Phone(425) 226-5536
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 16, 2023
Last NPPES UpdateJuly 27, 20233 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1558062430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · MC61422758
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
200 S 2ND ST, Renton, WA 98057
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Secondary Practice Location 1

Location 12902 NE 12th St Ste 102Renton, WA 98056-3297 · Phone (425) 882-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Kane Carlock Lmhca 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 ID4082197520
PECOS Enrollment IDI20260312000922
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 19

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

TARA D SHELBY
Counselor
200 S 2ND ST
RENTON, WA 98057
King County (425) 226-5536
LAIRD PATTERSON
Neurological Surgery
200 S 2ND ST
RENTON, WA 98057
King County (425) 226-5536
PETER METZGER M.D.
Pediatrics
200 S 2ND ST
RENTON, WA 98057
King County (425) 226-5536
DR. KENERA COLLEY DO
Family Medicine
200 S 2ND ST
RENTON, WA 98057
King County (425) 277-1311
DR. SHANNON DUFFY APRN
Nurse Practitioner
200 S 2ND ST
RENTON, WA 98057
King County (425) 226-5536
NIRAV PATEL MD
Family Medicine
200 S 2ND ST
RENTON, WA 98057
King County (425) 226-5536
YAOWANIT BALANGUE DI
Dietitian, Registered
200 S 2ND ST
RENTON, WA 98057
King County (425) 266-7039
HANNAH JAGGERS MD
Family Medicine
200 S 2ND ST
RENTON, WA 98057
King County (425) 226-5536

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 Kane Carlock's NPI number?

The NPI number for Kane Carlock is 1558062430. It was assigned to this individual provider in the NPPES registry on March 16, 2023.

Where is Kane Carlock located?

Kane Carlock practices at 200 S 2nd St, Renton, WA 98057. The listed phone number is (425) 226-5536.

What is Kane Carlock's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kane Carlock enrolled in Medicare?

Yes. Kane Carlock 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.

What insurance does Kane Carlock accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 3 other insurers list Kane Carlock 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 Kane Carlock was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.