Active NPI
Amy Roesler Karkane, LPC, LMFT
- Professional Counselor
- Virginia Beach, VA
National Provider Identifier
1861608168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701002059
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701002059 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seaside Behavioral Health | Current | 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.
-
- Counselor
- Virginia Beach, VA
- NPI 1295284255
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.