MICHAEL CARROLL
NPI 1811443187
Counselor - Mental Health in Fayetteville, NC

Active since August 28, 2016PECOS EnrolledAccepts Medicare Assignment
308 PETERSON PLACE, FAYETTEVILLE, NC 28301(910) 309-9432 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 5, 2022, Aug 28, 2016 (2 updates tracked since 2016).

About Michael Carroll NPPES

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

MICHAEL CARROLL (NPI 1811443187) is an individual mental health provider in Fayetteville, North Carolina, licensed in North Carolina (A16694) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1811443187
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL CARROLL
Location Address308 PETERSON PLACEFayetteville, NC 28301
Mailing Address308 Peterson PlaceFayetteville, NC 28301
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 28, 2016
Last NPPES UpdateJanuary 5, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2022
NPI 1811443187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NC · A16694
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 22937 (NC)
308 PETERSON PLACE, Fayetteville, NC 28301

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

Michael Carroll 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 ID648547000
PECOS Enrollment IDI20240122000976
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811443187, enumerated as an "individual" on August 28, 2016.

The provider is located at 308 PETERSON PLACE FAYETTEVILLE, NC 28301 and the phone number is (910) 309-9432.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Oscar Health. Please consult your insurance carrier or call the provider to verify.