Active NPI
Charlette Verkamp, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Covington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3016666
- Practice address
- 1401 Madison Ave
Covington, KY 41011-3313 - Phone
- (859) 655-6152
- NPI assigned
- Sep 13, 2021
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3016666 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3016666 | KY | Primary |
Addresses
Primary practice location
1401 Madison Ave
Covington, KY 41011-3313
Mailing address
215 E 11TH St
Newport, KY 41071-2203
Phone (859) 655-6100
Other practice location 1
451 Big Hill Ave Ste 5
Richmond, KY 40475-2596
Phone (859) 428-7862
Other practice location 2
503 Farrell Dr
Covington, KY 41011-3775
Phone (859) 578-3200
Other practice location 3
208 Kidd Dr
Berea, KY 40403-9593
Phone (859) 428-7862
Other practice location 4
215 E 11th St
Newport, KY 41071-2203
Phone (859) 655-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100770420 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1169 Eastern Pkwy
Suite 3328
Louisville, KY 40217-1415
Phone (855) 591-0092
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3016666 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Counseling Center, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526
1169 Eastern Pkwy
Ste 328
Louisville, KY 40217
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": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1942979810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E 11TH ST",
"city": "NEWPORT",
"state": "KY",
"postal_code": "410712203",
"telephone_number": "859-655-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 MADISON AVE",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410113313",
"telephone_number": "859-655-6152"
}
],
"practiceLocations": [
{
"address_1": "451 Big Hill Ave Ste 5",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "KY",
"postal_code": "404752596",
"country_code": "US",
"telephone_number": "859-428-7862",
"fax_number": "859-999-7869",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "503 Farrell Dr",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "KY",
"postal_code": "410113775",
"country_code": "US",
"telephone_number": "859-578-3200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "208 Kidd Dr",
"address_purpose": "LOCATION",
"city": "Berea",
"state": "KY",
"postal_code": "404039593",
"country_code": "US",
"telephone_number": "859-428-7862",
"fax_number": "859-999-7869",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "215 E 11th St",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "KY",
"postal_code": "410712203",
"country_code": "US",
"telephone_number": "859-655-6100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERKAMP",
"first_name": "CHARLETTE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3016666",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3016666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100770420",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.