Active NPI
Karen Kolb Flynn, MS,LPC,LIC.PSY.
- Clinical Psychologist
- Elkins, WV
National Provider Identifier
1104097633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 915
- Practice address
- 725 Yokum St
Elkins, WV 26241-3353 - Phone
- (304) 636-3232
- Fax
- (304) 636-9243
- NPI assigned
- Mar 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1779 | WV | |
| Clinical Psychologist | 103TC0700X | 915 | WV | Primary |
Addresses
Primary practice location
725 Yokum St
Elkins, WV 26241-3353
Mailing address
725 Yokum St
Elkins, WV 26241-3353
Phone (304) 636-3232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1779 | WV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1104097633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 YOKUM ST",
"city": "ELKINS",
"state": "WV",
"postal_code": "262413353",
"telephone_number": "304-636-3232",
"fax_number": "304-636-9243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 YOKUM ST",
"city": "ELKINS",
"state": "WV",
"postal_code": "262413353",
"telephone_number": "304-636-3232",
"fax_number": "304-636-9243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "KAREN",
"middle_name": "KOLB",
"credential": "MS,LPC,LIC.PSY.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-12",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WV",
"license": "1779",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkins, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.