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MICHAEL CARROLL
NPI 1558093195
Counselor in South Bend, IN

Active since June 30, 2022
415 E MADISON ST, SOUTH BEND, IN 46617(574) 533-1234(574) 537-2652 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Carroll NPPES

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

MICHAEL CARROLL (NPI 1558093195) is an individual counselor in South Bend, Indiana and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1558093195
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMICHAEL CARROLL
Location Address415 E MADISON STSouth Bend, IN 46617-2322
Mailing AddressPo Box 809Goshen, IN 46527-0809 · (574) 533-1234 · Fax (574) 537-2652
Phone(574) 533-1234
Fax(574) 537-2652
Sole ProprietorNo
Enumeration DateJune 30, 2022
NPPES CertifiedJune 30, 2022
✔ NPI 1558093195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
415 E MADISON ST, South Bend, IN 46617
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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.

BREANA S BOWSHER MSW
Social Worker
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1234
CLARICE SHEAR MA
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
MRS. CARRIE ANNE BIANCHINI LMHC
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
KAREN TANG
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
CHRISTINA MARTIN
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
MONICA KUNZ LCSW
Social Worker (Clinical)
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
MARIA GALLEGOS MA
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
SEANELL WILLIAMS MDIV
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234

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 Michael Carroll's NPI number?

The NPI number for Michael Carroll is 1558093195. It was assigned to this individual provider in the NPPES registry on June 30, 2022.

Where is Michael Carroll located?

Michael Carroll practices at 415 E Madison St, South Bend, IN 46617. The listed phone number is (574) 533-1234.

What is Michael Carroll's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Carroll was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.