NPIMap

Individual provider Active NPI

Vicki Josephine Rahenkamp, LCPC

  • Mental Health Counselor
  • Denton, MD
National Provider Identifier
1780911784
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC3358 Issued in MD
Practice address
808 S 5TH Ave
Denton, MD 21629-1398
Phone
(410) 479-2650
Fax
(833) 908-2283
NPI assigned
Nov 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC3358 MD
Mental Health Counselor 101YM0800X LC3358 MD Primary

Addresses

Primary practice location

808 S 5TH Ave
Denton, MD 21629-1398

Mailing address

808 S 5TH Ave
Denton, MD 21629-1398
Phone (410) 479-2650

Other practice location 1

3 Goldsborough St
Easton, MD 21601-3101
Phone (856) 904-1431

Other identifiers 4

IdentifierTypeStateIssuer
522156095OtherMDCOMMERCIAL INS
609550002MedicaidMD
609550001MedicaidMD
609550004MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231216000139 MD Practitioner - Mental Health Counselor 6103230669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choptank Community Health System IncGroup PAC ID 0648189274, 40 clinicians

Practice addresses (Care Compare)

126 Philosophers Ter
Chestertown, MD 21620-1715
Phone (443) 215-5353

601 High St
Chestertown, MD 21620-1124
Phone (410) 479-5772

808 S 5TH Ave
Denton, MD 21629-1398
Phone (410) 479-2650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC3358MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Choptank Community Health System Inc CurrentSince Jan 1, 2024 Accepting new patients
Choptank Community Health System Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

503 Muir St
Ste A
Cambridge, MD 21613
Phone (410) 228-4045

301 Randolph St
Denton, MD 21629
Phone (410) 479-8346

Interoperability endpoints

  • Direct secure messaging: vicki.rahenkamp.1@20853.direct.athenahealth.com

Organizations & group practices 12

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": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1780911784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 S 5TH AVE",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291398",
            "telephone_number": "410-479-2650",
            "fax_number": "833-908-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S 5TH AVE",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291398",
            "telephone_number": "410-479-2650",
            "fax_number": "833-908-2283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Goldsborough St",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216013101",
            "country_code": "US",
            "telephone_number": "856-904-1431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHENKAMP",
        "first_name": "VICKI",
        "middle_name": "JOSEPHINE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3358",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC3358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INS",
            "identifier": "522156095",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550002",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550001",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550004",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, MD

Sources for this page

Verify at the official NPI Registry.