Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558062430 Individual Practitioner Male Practitioner

Kane Carlock , LMHCA

Counselor • Renton, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kane Carlock, LMHCA is a certified Counselor practicing in Renton, WA. With approximately 2 years of clinical experience since completing medical education in 2024, Kane Carlock delivers high-quality medical care to the local community at 200 S 2ND ST.

Kane Carlock is affiliated with Healthsource Of Ohio, Inc. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

200 S 2nd St

Renton, WA 980572011

Telephone 4252265536
Associated Practice Facility / Clinic
🏢 Healthpoint Facility NPI 1629061353

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Renton, WA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -17.0 yrs vs City Avg
City Avg: 19.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
79 Specialists

Practicing in Renton, WA (11556 Statewide)

Telehealth Adoption Rate
1.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carlock (2 Years) 2 Yrs
Renton Specialty Average (19.0 Years) 19.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-07-27
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA MC61422758

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Healthsource Of Ohio, Inc.

150 Health Partners Cir, Mount Orab, OH 451548610

Phone: 9374442514

Secondary Practice Locations

2902 Ne 12th St Ste 102

Renton, WA 980563297

Phone: 4258826000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Tara Shelby

Counselor

NPI 1003571456
Pamela Ganz , PA-C

Physician Assistant - Medical

NPI 1063407864

Physician Assistant (Certified)

Laird Patterson

Neurological Surgery

NPI 1093906992
NPI 1124482781

Doctor of Medicine (M.D.)

Shannon Duffy , APRN

Nurse Practitioner

NPI 1215454574

Advanced Practice Registered Nurse

Dr. Nirav Patel , MD

Family Medicine

NPI 1215977202

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated July 27, 2023

Recorded as KANE CARLOCK, LMHCA

NPI Profile Active March 20, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2023

Registered at 200 S 2ND ST, RENTON, WA 980572011 (Tel: 4252265536)

📍
Updated Business Mailing Address March 20, 2023

Registered at 955 POWELL AVE SW, RENTON, WA 980572908 (Tel: 4252771311)

👤
Provider Name / Credentials Updated March 20, 2023

Recorded as KANE CARLOCK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 16, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558062430
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2023
Last Update: July 27, 2023
Sole Proprietor: No

Mailing Address

955 Powell Ave Sw

Renton, WA 980572908

Phone: 4252771311

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.