Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Kelly Carroll, MS, MA, APRN-BC

Individual provider Professional Counselor · NPI 1376674010

Kathleen Kelly Carroll, MS, MA, APRN-BC is a Nurse Practitioner in Fayetteville, North Carolina. Graduated from University of South Alabama College of Medicine in 2006, 20 years ago. Practices with Christian Counseling Professionals, Inc, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
20
Trained at
University of South Alabama College of Medicine
Licensed in
NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

805 Westmont Dr
Fayetteville, NC 28305-4555
Phone: (910) 484-4061
Fax: (910) 485-4069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 200401185 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence 6455 (NC)

Record details

NPI number1376674010
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , MA , APRN-BC
Sole proprietorNo
NPI enumeratedMarch 7, 2007
Last updated in NPPESMay 22, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Christian Counseling Professionals, Inc. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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