Rachael Demir, LPCA
Individual provider Active NPI Mental Health Counselor · Newport, KY
NPI 1306388772 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1306388772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 290554 (KY)
- Practice address
- 12 E 5TH St
Newport, KY 41071-1618 - Phone
- (859) 578-3200
- Fax
- (859) 534-2627
- NPI assigned
- Nov 16, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northern Kentucky Mental Health Mental Retardation Regional Board
Practice addresses (Care Compare)
12 E 5TH St
Newport, KY 41071-1618
Phone (859) 578-3200
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 |
|---|---|---|---|---|
| I20240518000216 | KY | Practitioner - Mental Health Counselor | 4284075433 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Kentucky Mental Health Mental Retardation Regional Board | Current |
Accepting new patients | |
| Northern Kentucky Mental Health Mental Retardation Regional Board | Current |
Accepting new patients |
Locations
513 Madison Ave
Fl 1
Covington, KY 41011
503 Farrell Dr
Covington, KY 41011
Phone (606) 578-3214
502 Farrell Dr
Covington, KY 41011
Phone (859) 578-3204
718 Columbia St
Newport, KY 41071
Phone (859) 491-6510
12 E 5th St
Newport, KY 41071
Phone (859) 491-6510
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 290554 | KY | Yes |
Addresses
Primary practice location
12 E 5TH St
Newport, KY 41071-1618
Mailing address
502 Farrell Dr
Covington, KY 41011-3717
Phone (859) 578-3204
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610661458 | Other | KY | TAX ID |
Other providers in Newport, KY
- Stafford Russell Damron
- Jenna M. Davis
- Megan Mackenzie De Araujo
- Lisa Decker
- Leslie Decourcy
- Dental Services of Kentucky, PSC
- Jantzen Dettwiller
- Jacqueline Marie Deyoe
- Darren P Di Iulio
- Sydney Dickson
All providers in Newport, 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 Apr 25, 2024. 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.