Individual provider Active NPI

Karen Ann Rifkin, LMHC

  • Mental Health Counselor
  • Longwood, FL
National Provider Identifier
1073649554
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH0003065 Issued in FL
Practice address
620 Crown Oak Centre Dr
Longwood, FL 32750-6188
Phone
(407) 339-1159
Fax
(407) 339-2405
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH0003065 FL Primary

Addresses

Primary practice location

620 Crown Oak Centre Dr
Longwood, FL 32750-6188

Mailing address

620 Crown Oak Centre Dr
Longwood, FL 32750-6188
Phone (407) 339-1159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240405002193 FL Practitioner - Mental Health Counselor 7810335148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

620 Crown Oak Centre Dr
Longwood, FL 32750-6188
Phone (407) 339-1159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH0003065FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Objectives Psychology, Counseling & Neurofeedback Center CurrentSince Mar 19, 2024 Accepting new patients

Locations

370 Centerpointe Cir
Ste 1160
Altamonte Springs, FL 32701
Phone (407) 339-1159

620 Crown Oak Centre Dr
Longwood, FL 32750
Phone (407) 339-1159

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1073649554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CROWN OAK CENTRE DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506188",
            "telephone_number": "407-339-1159",
            "fax_number": "407-339-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CROWN OAK CENTRE DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506188",
            "telephone_number": "407-339-1159",
            "fax_number": "407-339-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIFKIN",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH0003065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.