Provider Demographics
NPI:1356318836
Name:KNAUP, KAREN (LCPC, LPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:KNAUP
Suffix:
Gender:F
Credentials:LCPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT SCOTT
Mailing Address - State:KS
Mailing Address - Zip Code:66701-2404
Mailing Address - Country:US
Mailing Address - Phone:620-223-8590
Mailing Address - Fax:620-223-8592
Practice Address - Street 1:710 W 8TH ST
Practice Address - Street 2:
Practice Address - City:FORT SCOTT
Practice Address - State:KS
Practice Address - Zip Code:66701-2404
Practice Address - Country:US
Practice Address - Phone:620-223-8590
Practice Address - Fax:620-223-8592
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001019277101YP2500X
KSLCPC 763101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200628170AMedicaid
MO495357519Medicaid