Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KANE CARLOCK LMHCA
NPI 1558062430
Psychologist in Georgetown, OH

Active since March 16, 2023PECOS Enrolled
631 E STATE ST, GEORGETOWN, OH 45121(937) 378-6387(937) 378-4253 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 31, 2026, Jul 27, 2023, Mar 20, 2023 and 1 more (4 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 psychologist in Georgetown, Ohio, licensed in Ohio (P.08784) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1558062430
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameKANE CARLOCKCredential: LMHCA
Location Address631 E STATE STGeorgetown, OH 45121-1437
Mailing Address424 Wards Corner Rd Ste 200Loveland, OH 45140-6966 · (513) 576-7700 · Fax (513) 576-1020
Fax(937) 378-4253
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 16, 2023
Last NPPES UpdateAugust 31, 20264 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
NPI 1558062430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OH · P.08784
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
631 E STATE ST, Georgetown, OH 45121

Other Identifiers 1

Medicaid0125363OH

Accepted 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 11

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

Nurse Practitioner (Family)
631 E STATE ST
GEORGETOWN, OH 45121
Family Medicine
631 E STATE ST
GEORGETOWN, OH 45121
Clinic/Center (Federally Qualified Health Center (FQHC))
631 E STATE ST
GEORGETOWN, OH 45121
Nurse Practitioner (Family)
631 E STATE ST
GEORGETOWN, OH 45121
Nurse Practitioner (Pediatrics)
631 E STATE ST
GEORGETOWN, OH 45121
Pediatrics
631 E STATE ST
GEORGETOWN, OH 45121
Physician Assistant (Medical)
631 E STATE ST
GEORGETOWN, OH 45121
Clinic/Center (Primary Care)
631 E STATE ST
GEORGETOWN, OH 45121

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 631 E State St, Georgetown, OH 45121. The listed phone number is (937) 378-6387.

What is Kane Carlock's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

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 August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.