Provider Demographics
NPI:1659434009
Name:COSSON, KAREN LYNN (MA LMHP CPC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LYNN
Last Name:COSSON
Suffix:
Gender:F
Credentials:MA LMHP CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 NORMAL BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-5250
Mailing Address - Country:US
Mailing Address - Phone:402-434-2550
Mailing Address - Fax:402-434-2358
Practice Address - Street 1:3901 NORMAL BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5250
Practice Address - Country:US
Practice Address - Phone:402-434-2550
Practice Address - Fax:402-434-2358
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2216 LICENSED MENTAL101YM0800X
NECPC 1238101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE2904496000OtherMAGELLAN MIS
NE47067928413Medicaid
NE82338OtherBLUE CROSS BLUE SHIELD
NE2904496000OtherMAGELLAN MIS