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MARA ELIZABETH WHALEN LCSW
NPI 1871232942
Social Worker - Clinical in Lexington, KY

Active since May 27, 2022PECOS EnrolledAccepts Medicare Assignment
728 FAULKNER AVE, LEXINGTON, KY 40505(859) 559-6759 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 21, 2023, May 27, 2022 (2 updates tracked since 2022).

About Mara Elizabeth Whalen Lcsw NPPES

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

MARA ELIZABETH WHALEN LCSW (NPI 1871232942) is an individual clinical provider in Lexington, Kentucky, licensed in Kentucky (256833) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1871232942
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARA ELIZABETH WHALENCredential: LCSW
Location Address728 FAULKNER AVELexington, KY 40505-1800
Mailing Address1106 Tunnel Hill Rd Ste 100Elizabethtown, KY 42701-8026 · (270) 765-2335 · Fax (270) 765-2557
Phone(859) 559-6759
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 27, 2022
Last NPPES UpdateFebruary 21, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
✔ NPI 1871232942 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 · 256833
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.
728 FAULKNER AVE, Lexington, KY 40505
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 Health, Ambetter of Tennessee.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

Mara Elizabeth Whalen Lcsw 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 ID345774048
PECOS Enrollment IDI20241115003724
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.

Medicare Billing Reassignment

Medicare enrollment records show Mara Whalen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Next Step Counseling Services, LLC
80 mi
Professional
1106 TUNNEL HILL ROAD, SUITE 100
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 7 clinicians in this Medicare group
NPI 1699004572 (270) 765-2335

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40505 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.

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 Mara Whalen's NPI number?

The NPI number for Mara Whalen is 1871232942. It was assigned to this individual provider in the NPPES registry on May 27, 2022.

Where is Mara Whalen located?

Mara Whalen practices at 728 Faulkner Ave, Lexington, KY 40505. The listed phone number is (859) 559-6759.

What is Mara Whalen's specialty?

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

Is Mara Whalen enrolled in Medicare?

Yes. Mara Whalen 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 Mara Whalen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mara Whalen reassigns Medicare benefits to Next Step Counseling Services, LLC (Elizabethtown, 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 Mara Whalen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mara Whalen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Mara Whalen 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 Mara Whalen was last updated on February 21, 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.