Provider Demographics
NPI:1235131822
Name:BAUMANN, KAREN J (LCPC,LAC,LMFT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:J
Last Name:BAUMANN
Suffix:
Gender:F
Credentials:LCPC,LAC,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2966
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59403-2966
Mailing Address - Country:US
Mailing Address - Phone:406-866-0619
Mailing Address - Fax:406-952-0696
Practice Address - Street 1:410 CENTRAL AVE STE 301
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-3128
Practice Address - Country:US
Practice Address - Phone:406-866-0619
Practice Address - Fax:406-952-0696
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-12
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1007-LCPC101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
745273OtherBLUECROSS/BLUESHIELD
MT0000742040OtherBC/BS - CMH
MT0254286Medicaid