Provider Demographics
NPI:1437461266
Name:ALLEN, KAREN RENEE (LPC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:RENEE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5419 E 36TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64128-2314
Mailing Address - Country:US
Mailing Address - Phone:816-929-0310
Mailing Address - Fax:816-343-9963
Practice Address - Street 1:5419 E 36TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64128-2314
Practice Address - Country:US
Practice Address - Phone:816-920-7003
Practice Address - Fax:816-343-9693
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-09
Last Update Date:2023-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005041497101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO490104007Medicaid