T SCOTT CARROLL M.A., LPC
NPI 1972767812
Counselor - Mental Health in Red Bank, NJ

NPI Status: Active since July 10, 2008

Contact Information

270 HIGHWAY 35
RED BANK, NJ
ZIP 07701
Phone: (732) 842-2000
Fax: (732) 224-0688

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  • Individual
  • Male
  • Years of Experience 21
  • Counselor
  • Mental Health
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About T SCOTT CARROLL

This page provides the complete NPI Profile along with additional information for T Scott Carroll, a provider established in Red Bank, New Jersey with a medical specialization in Counselor, focusing in mental health and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1972767812 assigned on July 2008. The practitioner's primary taxonomy code is 101YM0800X with license number 37PC00446200 (NJ). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1972767812
Provider Name
T SCOTT CARROLL M.A., LPC
Gender
Male
Entity Type
Individual
Location Address
270 HIGHWAY 35 RED BANK, NJ 07701
Location Phone
(732) 842-2000
Location Fax
(732) 224-0688
Mailing Address
103 W 2ND ST STE 5 HOWELL, NJ 07731
Mailing Phone
(732) 534-5375
Medical School Name
OTHER
Graduation Year
2005
Is Sole Proprietor?
Yes
Enumeration Date
07-10-2008
Last Update Date
07-18-2024
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A mental health counselor like T Scott Carroll provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Secondary Locations

  • 103 W 2nd St Ste 5
    Howell, NJ 07731
    (732) 534-5375

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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
37PC00446200
License State
NJ

Insurance Plans Accepted

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

  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Principal Bronze HSA - EPO
  • Principal Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

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

Medicare Participation & PECOS Enrollment Status

T 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.

T 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: 7113362070

    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: I20240301000313

    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

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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 1972767812, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
2
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 7 → 14 → 5 7 → 14 → 5 7 → 14 → 5 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 + 4 + 2 + 1 + 4 + 6 + 1 + 4 + 8 + 2 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1972767812.

Other Providers at the Same Location


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

Social Worker (Clinical)
270 HIGHWAY 35, CPC BEHAVIORAL HEALTHCARE
RED BANK, NJ 07701
Social Worker
270 HIGHWAY 35
RED BANK, NJ 07701
Counselor (Mental Health)
270 HIGHWAY 35
RED BANK, NJ 07701
Social Worker
270 HIGHWAY 35
RED BANK, NJ 07701
Social Worker (Clinical)
270 HIGHWAY 35
RED BANK, NJ 07701
Counselor (Mental Health)
270 HIGHWAY 35
RED BANK, NJ 07701
Social Worker (Clinical)
270 HIGHWAY 35
RED BANK, NJ 07701
Counselor (Mental Health)
270 HIGHWAY 35
RED BANK, NJ 07701
Counselor (Professional)
270 HIGHWAY 35
RED BANK, NJ 07701
Psychiatry & Neurology (Psychiatry)
270 HIGHWAY 35
RED BANK, NJ 07701
Counselor (Addiction (Substance Use Disorder))
270 HIGHWAY 35
RED BANK, NJ 07701
Social Worker
270 HIGHWAY 35
RED BANK, NJ 07701
Social Worker (Clinical)
270 HIGHWAY 35
RED BANK, NJ 07701
Social Worker
270 HIGHWAY 35
RED BANK, NJ 07701
Pharmacist
270 HIGHWAY 35
RED BANK, NJ 07701
Clinic/Center
270 HIGHWAY 35
RED BANK, NJ 07701
Social Worker (Clinical)
270 HIGHWAY 35
RED BANK, NJ 07701
Social Worker (Clinical)
270 HIGHWAY 35
RED BANK, NJ 07701
Community/Behavioral Health
270 HIGHWAY 35
RED BANK, NJ 07701
Nurse Practitioner (Psychiatric/Mental Health)
270 HIGHWAY 35
RED BANK, NJ 07701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972767812, enumerated as an "individual" on July 10, 2008.

The provider is located at 270 HIGHWAY 35 RED BANK, NJ 07701 and the phone number is (732) 842-2000.

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

The provider might be accepting Accepts: Ambetter Health and Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to verify.