Provider Demographics
NPI:1265401657
Name:HOBBS, KAREN RENEE (LPC)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:RENEE
Last Name:HOBBS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4408 ECHO CT
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-2713
Mailing Address - Country:US
Mailing Address - Phone:703-772-2023
Mailing Address - Fax:706-670-0172
Practice Address - Street 1:4000 GENESEE PL
Practice Address - Street 2:SUITE 109
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-8302
Practice Address - Country:US
Practice Address - Phone:703-583-7504
Practice Address - Fax:703-583-7507
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003114101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPVPB212014OtherKAISER PIN
VA30442OtherNPC ID
VAN23131871OtherUBH
VA11233583OtherCAQH NUMBER
VA5412978Medicaid
VAF881OtherHEALTHKEEPERS/CAREFIRST #
VA171858OtherANTHEM PROVIDER NUMBER
VA7674370OtherAETNA PROVIDER NUMBER
VA462231OtherVALUE OPTIONS PIN
VA448830OtherMDIPA