KELLY JENNILEE CARPENTER CASAC-T
NPI 1861248494
Counselor - Addiction (Substance Use Disorder) in Sanborn, NY
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 and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Jennilee Carpenter Casac-t is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Carpenter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Niagara Falls, NV 14301
- Reassigned Medicare billing, New York enrollment
- 23 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Kelly Carpenter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Carpenter reassigns Medicare benefits to County Of Niagara (Niagara Falls, NV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Carpenter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Kelly Jennilee Carpenter, CASAC-T · NPI 1861248494
Addiction (Substance Use Disorder) provider in Sanborn, New York. Individual provider, active in the CMS NPPES registry since April 25, 2024.
## Identity
- **NPI:** 1861248494 (Entity type: Individual)
- **Enumerated:** April 25, 2024
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **Sole proprietor:** No
## Practice location
- **Address:** 6298 INDUCON DR E # SANBORNN, Sanborn, NY 14132-9013
- **Phone:** (716) 219-8700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** County Of Niagara (NPI 1841340569, Niagara Falls, NV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1861248494) · Data from the CMS NPPES public registry.