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

Kevin Carroll, LCDCIII162863

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1194235903

Kevin Carroll, LCDCIII162863 is an Addiction (Substance Use Disorder) Counselor in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2017.

Licensed in
OH
In the registry since
2017
Specialties on file
2

Practice location Address checks out

547 E 11th Ave
Columbus, OH 43211-2603
Phone: (614) 224-4506
Fax: (614) 291-0118
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCDCIII.162863 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA976115 (OH)

Record details

NPI number1194235903
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDCIII162863
Sole proprietorNo
NPI enumeratedOctober 6, 2017
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

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