MR. DAVID CARROLL LPCC-S
NPI 1992353718
Counselor - Mental Health in Canton, OH

Q: What is David Carroll's NPI number?

The NPI number for David Carroll is 1992353718. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Q: What is David Carroll's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for David Carroll was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since August 27, 2019PECOS EnrolledAccepts Medicare Assignment

4522 FULTON DR NW, CANTON, OH 44718(330) 915-2907(330) 915-2958 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2026, May 9, 2025, Feb 10, 2021 and 1 more (4 updates tracked since 2019).

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About Mr. David Carroll Lpcc-s NPPES

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

MR. DAVID CARROLL LPCC-S (NPI 1992353718) is an individual mental health provider in Canton, Ohio, licensed in Ohio (E.2303372-SUPV) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1992353718

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. DAVID CARROLLCredential: LPCC-S

Location Address4522 FULTON DR NWCanton, OH 44718-2332

Mailing Address4522 Fulton Dr NwCanton, OH 44718-2332 · (330) 915-2907 · Fax (330) 915-2958

Phone(330) 915-2907

Fax(330) 915-2958

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 27, 2019

Last NPPES UpdateJanuary 20, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2026

✔ NPI 1992353718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OH · E.2303372-SUPV

4522 FULTON DR NW, Canton, OH 44718

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Secondary Practice Locations 2

Location 15611 Hudson Dr Ste 400Hudson, OH 44236-4452 · Phone (330) 915-2907 · Fax (330) 915-2958

Location 24200 Munson St NW Ste ACanton, OH 44718-2981 · Phone (330) 915-2907 · Fax (330) 915-2958

Other Identifiers 1

Medicaid0370300OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, Molina Healthcare, Oscar Health Insurance and more.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

Mr. David Carroll Lpcc-s 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 ID6406375138

PECOS Enrollment IDI20250527002320

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS GIBBS LPC

Counselor (Professional)