Provider Demographics
NPI:1528010444
Name:PAINTER, KAREN L (LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:L
Last Name:PAINTER
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 ENGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-1736
Mailing Address - Country:US
Mailing Address - Phone:540-213-1190
Mailing Address - Fax:540-213-1318
Practice Address - Street 1:1208 W BEVERLEY ST
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-3113
Practice Address - Country:US
Practice Address - Phone:540-213-1190
Practice Address - Fax:540-213-1318
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003541101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAO86837MMedicaid
VA010210313Medicaid
VA183984OtherBCBS/ ANTHEM