Individual provider Active NPI

Erin Marie Whitehouse, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1356093520
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3017136 Issued in KY
Practice address
1353 W Main St
Lexington, KY 40508-2065
Phone
(855) 591-0092
Fax
(502) 637-9660
NPI assigned
Jan 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3017136 KY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0030495 OH

Addresses

Primary practice location

1353 W Main St
Lexington, KY 40508-2065

Mailing address

743 Timberline St
Villa Hills, KY 41017-1065
Phone (513) 846-1243

Other practice location 1

743 Timberline St
Villa Hills, KY 41017-1065
Phone (513) 846-1243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220406001631 KY Practitioner - Nurse Practitioner 0840686572 Reassigns benefits to 1 organization
I20240424002604 OH Practitioner - Nurse Practitioner 0840686572 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3017136KYMDPsychiatric/Mental Health Nurse Practitioner
0030495OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Counseling Center, LLC CurrentSince May 9, 2022 Accepting new patients
Flourish Psychotherapy, LLC Past Accepting new patients

Locations

1353 W Main St
Lexington, KY 40508

1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526

4835 Poplar Level Rd
Ste 110
Louisville, KY 40213
Phone (502) 424-5002

125 E Court St
Cincinnati, OH 45202

125 E Court St
Ste 350
Cincinnati, OH 45202
Phone (513) 999-2448

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kentucky Counseling Center LLC 57 clinicians

Practice addresses (Care Compare)

1169 Eastern Pkwy
Suite 3328
Louisville, KY 40217-1415
Phone (855) 591-0092

125 E Court St
Cincinnati, OH 45202-1212
Phone (855) 591-0092

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1356093520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 TIMBERLINE ST",
            "city": "VILLA HILLS",
            "state": "KY",
            "postal_code": "410171065",
            "telephone_number": "513-846-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 W MAIN ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082065",
            "telephone_number": "855-591-0092",
            "fax_number": "502-637-9660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "743 Timberline St",
            "address_purpose": "LOCATION",
            "city": "Villa Hills",
            "state": "KY",
            "postal_code": "410171065",
            "country_code": "US",
            "telephone_number": "513-846-1243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEHOUSE",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3017136",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0030495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.