Kathleen Kelly Carroll is a Fayetteville, North Carolina based counselor with 19 years of experience in Professional Counselor. She completed her graduation from University Of South Alabama College Of Medicine in 2006. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kathleen Kelly Carroll is 200401185 for Nurse Practitioner in North Carolina. Her current practice location is 805 Westmont Dr, Fayetteville. Patients can book an appointment with her at 910-484-4061.
Kathleen Kelly Carroll is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Kathleen Kelly Carroll speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Kathleen Kelly Carroll
Specialization:
Professional Counselor
Gender:
Female
Credentials:
M.S., M.A., APRN-BC
Experience:
19+ years
Medical School Attended:
University Of South Alabama College Of Medicine
Graduation Year:
2006
Accepts Medicare Assignment:
Yes
Practice Address:
805 Westmont Dr, Fayetteville, North Carolina, 28305-4555
Phone:
910-484-4061
Fax:
910-485-4069
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2163591967
Enrollment ID:
I20160126000261
NPI Number:
1376674010
NPI Enumeration Date:
07 Mar, 2007
NPI Last Update On:
22 May, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kathleen Kelly Carroll are as mentioned below.
License Number
Specialization
State
Status
200401185
Nurse Practitioner
North Carolina
Primary
6455
Professional Counselor
North Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kathleen Kelly Carroll such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
6113055
Medicaid
North Carolina
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS
She does not participate in the Physician Quality Reporting System Incentive Program.
EHR
She does not participate in the Electronic Health Record Incentive Program.
MHI
She does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
805 Westmont Dr, Fayetteville, North Carolina
Zip:
28305-4555
Phone Number:
910-484-4061
Fax Number:
910-485-4069
Patients can reach Kathleen Kelly Carroll at 805 Westmont Dr, Fayetteville, North Carolina or can call to book an appointment on 910-484-4061. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.