Raymond Curtis Bartholomew III, M.ED. LPCC
Individual provider Active NPI Mental Health Counselor · Crestview Hills, KY
NPI 1306374533 · NPPES record last updated Jun 22, 2023
Key facts
- NPI
- 1306374533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 172041 (KY)
- Practice address
- 334 Thomas More Pkwy
Crestview Hills, KY 41017-3464 - Phone
- (859) 301-5901
- Fax
- (859) 301-5940
- NPI assigned
- Jun 1, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group Inc
Practice addresses (Care Compare)
334 Thomas More Pkwy
Crestview Hills, KY 41017-3464
Phone (859) 301-5901
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240119002169 | KY | Practitioner - Mental Health Counselor | 0648622191 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Mental Health | Current |
Accepting new patients |
| Summit Medical Group, Inc. | Current |
Accepting new patients |
Locations
6105 1st Financial Dr
Burlington, KY 41005
Phone (859) 525-1846
334 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-6065
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 172041 | KY | Yes |
Addresses
Primary practice location
334 Thomas More Pkwy
Crestview Hills, KY 41017-3464
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 344-5555
Other practice location 1
519 Licking Pike
Wilder, KY 41071-2941
Phone (859) 572-0400 ext. 4526
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16291234443 | Other | KY | MENTAL HEALTH |
Other providers in Crestview Hills, KY
- Steven C Bailey
- Brady Baker
- Doris R. Bankston
- Krista Barnett
- Ruth Ellen Barone
- Dallas Scott Basham
- Beacon Orthopaedics & Sports Medicine, LTD
- Becker Neurological Institute PLLC
- Philip S. Becker
- Beiting Family Dentistry
All providers in Crestview Hills, KY · Mental Health Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.