Michael Carroll
NPI 1811443187ActiveIndividual· Counselor, Mental Health· Fayetteville, NC
Counselor, Mental Health with Robert C Pennebaker PLLC, practicing in Fayetteville, North Carolina. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1811443187 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 28, 2016 |
| Last updated in NPPES | Jan 5, 2022 |
| Certified by provider | Jan 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | A16694 | NC |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 22937 | NC |
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 (NC) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Robert C Pennebaker PLLCFayetteville, NC · 11 clinicians
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All 355 mental health counselors in Fayetteville · All mental health counselors in North Carolina