Provider Demographics
NPI:1356120380
Name:KASPERN, KAREN C (LPC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:C
Last Name:KASPERN
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 1:1247 SUSSEX TPKE STE 210
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-2943
Mailing Address - Country:US
Mailing Address - Phone:973-685-5668
Mailing Address - Fax:
Practice Address - Street 1:1247 SUSSEX TPKE STE 210
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-2943
Practice Address - Country:US
Practice Address - Phone:973-685-5668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM0855X
NJ37PC00593400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health