SCOTT CARROLL M.C
NPI 1962626119
Counselor - Professional in Casa Grande, AZ

NPI Status: Active since April 12, 2007

Contact Information

865 N ARIZOLA RD
CASA GRANDE, AZ
ZIP 85122
Phone: (520) 836-3446
Fax: (520) 836-3446

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  • Individual
  • Male
  • Years of Experience 24
  • Counselor
  • Professional
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SCOTT CARROLL

This page provides the complete NPI Profile along with additional information for Scott Carroll, a provider established in Casa Grande, Arizona with a medical specialization in Counselor, focusing in professional and more than 24 years of experience. The healthcare provider is registered in the NPI registry with number 1962626119 assigned on April 2007. The practitioner's primary taxonomy code is 101YP2500X with license number LPC11587 (AZ). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1962626119
Provider Name
SCOTT CARROLL M.C
Gender
Male
Entity Type
Individual
Location Address
865 N ARIZOLA RD CASA GRANDE, AZ 85122
Location Phone
(520) 836-3446
Location Fax
(520) 836-3446
Mailing Address
PO BOX 10097 CASA GRANDE, AZ 85130
Mailing Phone
(520) 836-3446
Medical School Name
OTHER
Graduation Year
2002
Is Sole Proprietor?
Yes
Enumeration Date
04-12-2007
Last Update Date
07-25-2023
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Location Map

Secondary Locations

  • 484 W Rosal Dr
    Apache Junction, AZ 85220
    (480) 678-0373

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
LPC11587
License State
AZ

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

LISAC10506 (AZ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Standard - HMO
  • Catastrophic Standard - HMO
  • Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • AZ Blue ACA StandardHealth Silver with Health Choice - HMO
  • AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Bronze Neighborhood (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Gold Neighborhood (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Silver Neighborhood (4 Free PCP Visits) - HMO
  • AZ Blue EverydayHealth Gold Focus (1 Free PCP Visit) - HMO
  • AZ Blue EverydayHealth Gold Neighborhood (1 Free PCP Visit) - HMO
  • AZ Blue EverydayHealth Prosano Gold ($0 Prosano Health Visits) - HMO
  • Imperial Preferred Gold - HMO
  • Imperial Preferred Silver - HMO
  • Imperial Standard Bronze - HMO
  • Imperial Standard Gold - HMO
  • Imperial Standard Silver - HMO
  • Bronze Classic Standard - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Simple - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Buena Salud Bronce Simple Para Diabetes - HMO
  • Gold Classic - HMO
  • Gold Classic Standard - HMO
  • Gold Simple - HMO
  • Gold Simple Diabetes - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Standard+ (Dental + Vision) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Scott Carroll is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Scott Carroll is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4981056710

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240117003784

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for SCOTT CARROLL M.C

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962626119, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 2 + 2 + 1 + 2 + 1 + 2 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1962626119.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Physician Assistant
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Dentist (General Practice)
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Pharmacist
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Family Medicine
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Pharmacist
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Pharmacist
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Counselor (Professional)
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Dentist (General Practice)
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Pharmacist
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Pharmacist (Ambulatory Care)
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Clinic/Center (Federally Qualified Health Center (FQHC))
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Clinic/Center (Federally Qualified Health Center (FQHC))
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Clinical Medical Laboratory
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Clinic/Center (Community Health)
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Nurse Practitioner (Family)
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Family Medicine
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Nurse Practitioner (Family)
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Physician Assistant (Medical)
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Social Worker (Clinical)
865 N ARIZOLA RD
CASA GRANDE, AZ 85122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962626119, enumerated as an "individual" on April 12, 2007.

The provider is located at 865 N ARIZOLA RD CASA GRANDE, AZ 85122 and the phone number is (520) 836-3446.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Antidote. Please consult your insurance carrier or call the provider to verify.