Karen Brogdon, LADAC II
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Knoxville, TN
NPI 1063919504 · NPPES record last updated Apr 24, 2025
Key facts
- NPI
- 1063919504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1553 (TN)
- Practice address
- 3006 Lake Brook Blvd BLDG 1
Knoxville, TN 37909-1137 - Phone
- (865) 637-9111
- NPI assigned
- Apr 11, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1553 | TN | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1553 | TN | Yes |
Addresses
Primary practice location
3006 Lake Brook Blvd BLDG 1
Knoxville, TN 37909-1137
Mailing address
309 Broome Rd Apt 16F
Knoxville, TN 37923-2617
Phone (865) 316-4918
Other providers in Knoxville, TN
- Micah Brock
- Shelby E Brock
- Steven E Brock
- William Wesley Brodwater IV
- Amber Danielle Brogan
- Broken Vessels Counseling PLLC
- Lauren Adele Brombach
- Mary Louise Brooke
- Melinda Kaye Brookman
- Brandon Brooks
All providers in Knoxville, TN · Addiction (Substance Use Disorder) Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.