Charity Frost

Individual provider Active NPI Case Manager/Care Coordinator · Columbia, KY

NPI 1619646403 · NPPES record last updated Sep 7, 2021

Key facts

NPI
1619646403
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
200 E Frazier Ave
Columbia, KY 42728-1915
Phone
(270) 384-4719
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. Current
since Sep 12, 2021
Accepting new patients
Lake Cumberland Regional MHMR Board Outpatient Past
since Sep 12, 2021
Accepting new patients

Locations

200 E Frazier Ave
Columbia, KY 42728
Phone (270) 384-4710

130 Southern School Rd
Somerset, KY 42501
Phone (606) 679-4782

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

200 E Frazier Ave
Columbia, KY 42728-1915

Mailing address

130 Southern School Rd
Somerset, KY 42501-3223
Phone (606) 679-4782

Other providers in Columbia, KY

All providers in Columbia, KY · Case Manager/Care Coordinator in Kentucky

Sources for this page

Verify at the official NPI Registry.