Provider Demographics
NPI:1689772022
Name:KAISER, KAREN ROXANNE (PHD LPC)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ROXANNE
Last Name:KAISER
Suffix:
Gender:F
Credentials:PHD LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16000 TRYON WAY
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-3203
Mailing Address - Country:US
Mailing Address - Phone:703-307-0476
Mailing Address - Fax:703-753-0863
Practice Address - Street 1:7969 ASHTON AVE
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-2885
Practice Address - Country:US
Practice Address - Phone:703-792-7832
Practice Address - Fax:703-792-7817
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC8101Y00000X
CERTIFICATION51756101Y00000X
VA0701002737101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor