Conner Kenneth Scott Carpenter
Counselor in Folsom, CA. Individual provider (NPI-1).
NPI number1407710239
StatusActive
Last updated in NPPESDec 15, 2025
Details
- NPI
- 1407710239
- Entity type
- Individual (NPI-1)
- Name
- Conner Kenneth Scott Carpenter
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2025
- Certification date
- Dec 15, 2025
- Last updated
- Dec 15, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
218 Marsh Hawk DrFolsom, CA 95630-8575
Phone 208-590-5022
Mailing address
218 Marsh Hawk DrFolsom, CA 95630-8575
Phone 208-590-5022
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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