Provider Demographics
NPI:1164946190
Name:KAREN COUNSELING ASSOCIATES
Entity Type:Organization
Organization Name:KAREN COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:S
Authorized Official - Last Name:LUNDY
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:618-281-9282
Mailing Address - Street 1:221 S METTER AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:IL
Mailing Address - Zip Code:62236-2253
Mailing Address - Country:US
Mailing Address - Phone:618-281-9282
Mailing Address - Fax:888-972-9396
Practice Address - Street 1:221 S. METTER AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:IL
Practice Address - Zip Code:62236-2253
Practice Address - Country:US
Practice Address - Phone:618-281-9282
Practice Address - Fax:888-972-9396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.004562101Y00000X
IL180.010771101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1083071872OtherNPI
IL1013021732OtherNPI