Karen Brubaker

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH21660 Issued in FL

Practice address

3256 W Lake Mary Blvd
Lake Mary, FL 32746-3588

Phone

(407) 429-9030

NPI assigned

May 2, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Karen Nieves Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1043955271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3256 W LAKE MARY BLVD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463588",
            "telephone_number": "407-429-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3256 W LAKE MARY BLVD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463588",
            "telephone_number": "407-429-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "KAREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH21660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "NIEVES",
            "credential": "MA, FL REG INTERN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynimen Brown
• Deborah A. Brown, CNM
• Elaine Sharper Brown
• Erica Brown
• Jessica Ashley Brown, MA, CCC-SLP
• Alexandra J Bruckner
• Anastasia Brumley, DPT
• Carlie Danielle Brush, D.C.
• Bryan D. Oeth,DMD,Cosmetic & Restorative Dental Care of Lake Mary, FL, PA
• Mark Bubon

• Mental Health Counselor in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.