Carissa Rae Rodden, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

282370 Issued in KY

Practice address

107 Cranes Roost CT
Elizabethtown, KY 42701-3650

Phone

(270) 765-2605

NPI assigned

Oct 19, 2020

Last updated

Dec 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Communicare Inc

  • Community/Behavioral Health Agency
  • Brandenburg, KY
  • NPI 1295872638
  Medicare reassignment NPD
• Communicare Inc

  • Community/Behavioral Health Agency
  • Elizabethtown, KY
  • NPI 1801933247
  NPD
• Communicare Inc

  • Community/Behavioral Health Agency
  • Hodgenville, KY
  • NPI 1821419789
  NPD

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1225637648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 WINDBROOK DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427016827",
            "telephone_number": "816-646-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CRANES ROOST CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427013650",
            "telephone_number": "270-765-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODDEN",
        "first_name": "CARISSA",
        "middle_name": "RAE",
        "credential": "NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "282370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Robinson
• Tiffany Shea Robinson, PA
• Shelley L Roby, ARNP
• Amy Rhea Rock, DC
• Rocky Mountain Holdings, LLC (Air Methods Kentucky)
• Gabrielle Rodgers, FNP-C
• Megan Kathleen Rodgers
• Helana Maria Rodriguez
• Emily Marie Rogers
• Jeffrey Keith Rogers

• Professional Counselor in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.