Individual provider Active NPI

Caroline Virginia Ketron

  • Art Therapist
  • Crescent Springs, KY
National Provider Identifier
1629783238
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Practice address
541 Buttermilk Pike Ste 200
Crescent Springs, KY 41017-1696
Phone
(859) 869-2023
Fax
(561) 401-9196
NPI assigned
Jan 18, 2023
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X NU Primary

Addresses

Primary practice location

541 Buttermilk Pike Ste 200
Crescent Springs, KY 41017-1696

Mailing address

541 Buttermilk Pike Ste 200
Crescent Springs, KY 41017-1696
Phone (859) 869-2023

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Behavioral Health, LLC Art Therapist CurrentSince Jan 22, 2023 Accepting new patients

Locations

541 Buttermilk Pike
Ste 200
Crescent Springs, KY 41017
Phone (859) 320-7674

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1629783238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 BUTTERMILK PIKE STE 200",
            "city": "CRESCENT SPRINGS",
            "state": "KY",
            "postal_code": "410171696",
            "telephone_number": "859-869-2023",
            "fax_number": "561-401-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 BUTTERMILK PIKE STE 200",
            "city": "CRESCENT SPRINGS",
            "state": "KY",
            "postal_code": "410171696",
            "telephone_number": "859-869-2023",
            "fax_number": "561-401-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETRON",
        "first_name": "CAROLINE",
        "middle_name": "VIRGINIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crescent Springs, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.