KARISA VANDEVENTER MA
NPI 1992235030
Counselor in Kokomo, IN

Active since June 12, 2017PECOS EnrolledAccepts Medicare Assignment
1907 W SYCAMORE ST STE X, KOKOMO, IN 46901(765) 456-5950(317) 583-3099 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 3, 2026, Jul 21, 2022, Jun 12, 2017 (3 updates tracked since 2017).

About Karisa Vandeventer Ma NPPES

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

KARISA VANDEVENTER MA (NPI 1992235030) is an individual counselor in Kokomo, Indiana and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Marion, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1992235030
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKARISA VANDEVENTERCredential: MA
Location Address1907 W SYCAMORE ST STE XKokomo, IN 46901-4197
Mailing Address101 S Washington StMarion, IN 46952-3867 · (765) 662-9971
Fax(317) 583-3099
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 12, 2017
Last NPPES UpdateFebruary 16, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2026
✔ NPI 1992235030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1907 W SYCAMORE ST STE X, Kokomo, IN 46901

Secondary Practice Location 1

Location 1101 South Washington StreetMarion, IN 46952 · Phone (765) 662-9971

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

Karisa Vandeventer Ma 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 ID2668825985
PECOS Enrollment IDI20240201004398
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 Reassignments

2

Medicare enrollment records show Karisa Vandeventer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
1907 W SYCAMORE ST
Kokomo, IN 46901
  • Reassigned Medicare billing, Indiana enrollment
  • 25 clinicians in this Medicare group
Clinical
217 E SOUTHWAY BLVD STE 101
Kokomo, IN 46902
  • Reassigned Medicare billing, Indiana enrollment
  • 5 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.

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 Karisa Vandeventer's NPI number?

The NPI number for Karisa Vandeventer is 1992235030. It was assigned to this individual provider in the NPPES registry on June 12, 2017.

Where is Karisa Vandeventer located?

Karisa Vandeventer practices at 1907 W Sycamore St Ste X, Kokomo, IN 46901. The listed phone number is (765) 456-5950.

What is Karisa Vandeventer's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Karisa Vandeventer enrolled in Medicare?

Yes. Karisa Vandeventer 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 organizations bill Medicare for Karisa Vandeventer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karisa Vandeventer reassigns Medicare benefits to 2 organizations: St. Joseph Hospital & Health Center, Inc. (Kokomo, IN) and Psychotherapy Associates Of Kokomo, LLC (Kokomo, IN). Each 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 Karisa Vandeventer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karisa Vandeventer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Karisa Vandeventer 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 Karisa Vandeventer was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.