Karen Irene Crawley-Buckholtz, MA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC2622 Issued in MD

Practice address

1113 Odenton Rd
Suite 2D
Odenton, MD 21113-1606

Phone

(443) 351-2004

NPI assigned

Jun 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1053517342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 SAPPINGTON DR",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541057",
            "telephone_number": "443-351-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 ODENTON RD",
            "address_2": "SUITE 2D",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131606",
            "telephone_number": "443-351-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWLEY-BUCKHOLTZ",
        "first_name": "KAREN",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Cork
• Llewellyn Cornelius, PH.D., LCSW
• Melanie Patrice Cox
• Shelia Craig Whiteman, PT,DPT
• Raina Crawford, CRNP
• Kimberly Crim, CRNP
• Jessica D'Apice
• Johnny Van Dang, DO
• Halcyeane Theodora Dardaine, MD
• Agnes R. Datan

• Professional Counselor in Odenton, MD
• Providers in Odenton, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.