Carol Lynn Ford, PHD, CAC I, LPC, SUP
NPI 1750511465ActiveIndividual· Counselor, Mental Health· Sequim, WA
Counselor, Mental Health (PHD, CAC I, LPC, SUP) with Mental Health Specialty Group PA, practicing in Sequim, Washington. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1750511465 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, CAC I, LPC, SUP |
| Sole proprietor | No |
| NPI issued | Jul 16, 2009 |
| Last updated in NPPES | May 13, 2024 |
| Certified by provider | May 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | LPC.0005899 | CO |
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 - Mental Health Counselor (WA) |
|---|
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Mental Health Specialty Group PALake Worth, FL · 801 clinicians
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All 37 mental health counselors in Sequim · All mental health counselors in Washington