RACHAEL DEMIR LPCA
NPI 1306388772
Counselor - Mental Health in Newport, KY
About Rachael Demir Lpca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHAEL DEMIR LPCA (NPI 1306388772) is an individual mental health provider in Newport, Kentucky, licensed in Kentucky (290554) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Rachael Demir Lpca is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Rachael Demir reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Covington, KY 41011
- Reassigned Medicare billing, Kentucky enrollment
- 82 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWPORT, KY 41071
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rachael Demir's NPI number?
The NPI number for Rachael Demir is 1306388772. It was assigned to this individual provider in the NPPES registry on November 16, 2016.
Where is Rachael Demir located?
Rachael Demir practices at 12 E 5th St, Newport, KY 41071. The listed phone number is (859) 578-3200.
What is Rachael Demir's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Rachael Demir enrolled in Medicare?
Yes. Rachael Demir is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Rachael Demir's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Demir reassigns Medicare benefits to Northern Kentucky Mental Health Mental Retardation Regional Board (Covington, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachael Demir's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachael Demir accept?
Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare list Rachael Demir as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Rachael Demir was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Rachael Demir, LPCA · NPI 1306388772
Mental Health provider in Newport, Kentucky. Individual provider, active in the CMS NPPES registry since November 16, 2016.
## Identity
- **NPI:** 1306388772 (Entity type: Individual)
- **Enumerated:** November 16, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 290554 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 12 E 5TH ST, Newport, KY 41071-1618
- **Phone:** (859) 578-3200 · **Fax:** (859) 534-2627
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Northern Kentucky Mental Health Mental Retardation Regional Board (NPI 1578527610, Covington, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** April 25, 2024
- **Other identifiers:** Other 610661458 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1306388772) · Data from the CMS NPPES public registry.