Individual provider Active NPI

Amy Roesler Karkane, LPC, LMFT

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1861608168
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701002059 Issued in VA
Practice address
297 Independence Blvd
Suite 212
Virginia Beach, VA 23462-2911
Phone
(757) 385-0639
Fax
(757) 473-6157
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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 0701002059 VA Primary
Marriage & Family Therapist 106H00000X 0717000200 VA

Addresses

Primary practice location

297 Independence Blvd
Suite 212
Virginia Beach, VA 23462-2911

Mailing address

2364 Haversham Close
Virginia Beach, VA 23454-1153
Phone (757) 412-2288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240131004331 VA Practitioner - Marriage and Family Therapist 8628421112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Seaside Behavioral HealthGroup PAC ID 6709168776, 6 clinicians

Practice addresses (Care Compare)

1072 Laskin Rd
Suite 104
Virginia Beach, VA 23451-6387
Phone (757) 648-8605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701002059VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Seaside Behavioral Health CurrentSince Jan 15, 2024 Accepting new patients

Locations

1072 Laskin Rd
Ste 104
Virginia Beach, VA 23451
Phone (757) 648-8605

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1861608168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2364 HAVERSHAM CLOSE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541153",
            "telephone_number": "757-412-2288",
            "fax_number": "757-462-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 INDEPENDENCE BLVD",
            "address_2": "SUITE 212",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622911",
            "telephone_number": "757-385-0639",
            "fax_number": "757-473-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARKANE",
        "first_name": "AMY",
        "middle_name": "ROESLER",
        "name_prefix": "Mrs.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002059",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.