Individual provider Active NPI

Karen Cole

  • Clinical Social Worker
  • Richmond, KY
National Provider Identifier
1386300085
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
256376 Issued in KY
Practice address
1623 Foxhaven Dr
Richmond, KY 40475-1056
Phone
(859) 625-5235
NPI assigned
Nov 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 256376 KY Primary

Addresses

Primary practice location

1623 Foxhaven Dr
Richmond, KY 40475-1056

Mailing address

1623 Foxhaven Dr
Richmond, KY 40475-1056
Phone (859) 625-5235

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220808002262 KY Practitioner - Clinical Social Worker 2668854647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ethan Health LLCGroup PAC ID 4183910474, 2 clinicians

Practice addresses (Care Compare)

1623 Foxhaven Dr
Richmond, KY 40475-1056
Phone (859) 625-5235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ethan Health LLC Addiction (Substance Use Disorder) CurrentSince Jul 26, 2022 Accepting new patients

Locations

1623 Foxhaven Dr
Richmond, KY 40475
Phone (859) 625-5235

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": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1386300085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 FOXHAVEN DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751056",
            "telephone_number": "859-625-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 FOXHAVEN DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751056",
            "telephone_number": "859-625-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.