Active NPI
Karen Ann McMullen, M.ED. L.P.C.
- Professional Counselor
- Polson, MT
National Provider Identifier
1114039252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 149
- Practice address
- 302 1St St W
Suite 202
Polson, MT 59860-2654 - Phone
- (406) 261-9321
- Fax
- (406) 887-9948
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 149 | MT | Primary |
Addresses
Primary practice location
302 1St St W
Suite 202
Polson, MT 59860-2654
Mailing address
PO Box 912
Polson, MT 59860-0912
Phone (406) 261-9321
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149 | Other | MT | LICENSE ID |
| 75600 | Other | MT | BLUE CROSS BLUE SHIELD ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149 | MT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114039252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 912",
"city": "POLSON",
"state": "MT",
"postal_code": "598600912",
"telephone_number": "406-261-9321",
"fax_number": "406-887-9948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 1ST ST W",
"address_2": "SUITE 202",
"city": "POLSON",
"state": "MT",
"postal_code": "598602654",
"telephone_number": "406-261-9321",
"fax_number": "406-887-9948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMULLEN",
"first_name": "KAREN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.ED. L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE ID",
"identifier": "149",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "75600",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Polson, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.