Salvatore Paul Carbonaro Jr., MS LCDC PSYD
NPI 1194202028ActiveIndividual· Counselor, Mental Health· Leavenworth, KS
Counselor, Mental Health (MS LCDC PSYD) in Leavenworth, Kansas, licensed in KS and TX, with an NPI issued in July 2018. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1194202028 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS LCDC PSYD |
| Sole proprietor | No |
| NPI issued | Jul 24, 2018 |
| Last updated in NPPES | Feb 27, 2023 |
| Certified by provider | Feb 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | TLMLP2853 | KS |
| Psychologist, Clinical | 103TC0700X | 38815 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (TX) |
|---|
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