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

Michael Carroll

Individual provider Mental Health Counselor · NPI 1811443187

Michael Carroll is a Mental Health Counselor in Fayetteville, North Carolina. Qualified in 2014, 12 years ago. Practices with Robert C Pennebaker PLLC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

308 Peterson Pl
Fayetteville, NC 28301
Phone: (910) 309-9432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A16694 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 22937 (NC)

Record details

NPI number1811443187
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 28, 2016
Last updated in NPPESJanuary 5, 2022
Certification dateJanuary 5, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Robert C Pennebaker Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fayetteville