1. Home
  2. Directory
  3. Kentucky
  4. Richmond
  5. Social Worker
  6. NPI Profile

KAREN COLE
NPI 1386300085
Social Worker - Clinical in Richmond, KY

Active since November 17, 2021PECOS EnrolledAccepts Medicare Assignment
1623 FOXHAVEN DR, RICHMOND, KY 40475(859) 625-5235 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2023, Nov 17, 2021 (2 updates tracked since 2021).

About Karen Cole NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN COLE (NPI 1386300085) is an individual clinical provider in Richmond, Kentucky, licensed in Kentucky (256376) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1386300085
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAREN COLE
Location Address1623 FOXHAVEN DRRichmond, KY 40475-1056
Mailing Address1623 Foxhaven DrRichmond, KY 40475-1056 · (859) 625-5235
Phone(859) 625-5235
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 17, 2021
Last NPPES UpdateJuly 7, 20232 updates tracked since enumeration
NPPES CertifiedJuly 7, 2023
✔ NPI 1386300085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · 256376
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1623 FOXHAVEN DR, Richmond, KY 40475
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Cole 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.

PECOS PAC ID2668854647
PECOS Enrollment IDI20220808002262
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40475 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ETHAN HEALTH LLC
Clinical Medical Laboratory
1623 FOXHAVEN DR
RICHMOND, KY 40475
Madison County (859) 625-5235
MISS ASHLEY MCCARTY
Peer Specialist
1623 FOXHAVEN DR
RICHMOND, KY 40475
Madison County (859) 972-0045
MRS. KATELINDE MICHELLE DEATON LCSW
Counselor
1623 FOXHAVEN DR
RICHMOND, KY 40475
Madison County (859) 625-5235
ETHAN HEALTH LLC
Substance Abuse Rehabilitation Facility
1623 FOXHAVEN DR
RICHMOND, KY 40475
Madison County (859) 317-8714
REAL RECOVERY LLC
Family Medicine (Addiction Medicine)
1623 FOXHAVEN DR
RICHMOND, KY 40475
Madison County (859) 625-5235

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 Karen Cole's NPI number?

The NPI number for Karen Cole is 1386300085. It was assigned to this individual provider in the NPPES registry on November 17, 2021.

Where is Karen Cole located?

Karen Cole practices at 1623 Foxhaven Dr, Richmond, KY 40475. The listed phone number is (859) 625-5235.

What is Karen Cole's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Karen Cole enrolled in Medicare?

Yes. Karen Cole 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.

What insurance does Karen Cole accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Karen Cole 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 Karen Cole was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.