Provider Demographics
NPI:1053490474
Name:KAUFFMAN, KAREN JEANNE (LPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:JEANNE
Last Name:KAUFFMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9009 RANCH ROAD 620 N
Mailing Address - Street 2:APT. 1204
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78726-4200
Mailing Address - Country:US
Mailing Address - Phone:512-585-6466
Mailing Address - Fax:866-626-6290
Practice Address - Street 1:1106 S MAYS ST
Practice Address - Street 2:STE 110
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-6783
Practice Address - Country:US
Practice Address - Phone:512-585-6466
Practice Address - Fax:866-626-6290
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16361101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5358LCOtherBLUE CROSS BLUE SHIELD