MR. KENNETH SHAUN CARROLL LMHC NPI 1336903673

NPI Information

NPI: 1336903673
Provider Name: MR. KENNETH SHAUN CARROLL, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
14 PITTONI DR
COMMACK, NY
ZIP 11725
Phone: (631) 942-8602
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MR. Kenneth Shaun Carroll, LMHC is a mental health counselor in Commack, NY. MR. Kenneth Shaun Carroll, LMHC NPI is 1336903673. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14 PITTONI DR
COMMACK, NY
ZIP 11725-315
Phone: (631) 942-8602

The enumeration date for this NPI number is 2/7/2024 and was last updated on 2/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	014227-01	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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