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KELLY JENNILEE CARPENTER CASAC-T
NPI 1861248494
Counselor - Addiction (Substance Use Disorder) in Sanborn, NY

Active since April 25, 2024PECOS Enrolled
6298 INDUCON DR E # SANBORNN, SANBORN, NY 14132(716) 219-8700 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Jennilee Carpenter Casac-t NPPES

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

KELLY JENNILEE CARPENTER CASAC-T (NPI 1861248494) is an individual addiction (substance use disorder) provider in Sanborn, New York and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861248494
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY JENNILEE CARPENTERCredential: CASAC-T
Location Address6298 INDUCON DR E # SANBORNNSanborn, NY 14132-9013
Mailing Address6298 Inducon Dr E # SanbornnSanborn, NY 14132-9013 · (716) 201-8312
Phone(716) 219-8700
Sole ProprietorNo
Enumeration DateApril 25, 2024
NPPES CertifiedApril 25, 2024
✔ NPI 1861248494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
6298 INDUCON DR E # SANBORNN, Sanborn, NY 14132
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Jennilee Carpenter Casac-t 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.

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 Kelly Carpenter's NPI number?

The NPI number for Kelly Carpenter is 1861248494. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Where is Kelly Carpenter located?

Kelly Carpenter practices at 6298 Inducon Dr E # Sanbornn, Sanborn, NY 14132. The listed phone number is (716) 219-8700.

What is Kelly Carpenter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Kelly Carpenter enrolled in Medicare?

Yes. Kelly Carpenter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Carpenter was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.