Karen Nicole Chinnock, PH.D, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP6468 Issued in MN

Practice address

930 Blue Gentian Rd
Eagan, MN 55121-1674

Phone

(651) 348-8851

NPI assigned

Oct 25, 2019

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

Other names 1

• Karen Nicole Guszkowski Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lorenz Clinic LLCGroup PAC ID 7810282845, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: karen.chinnock.1@16506.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/16506/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lorenz Clinic, LLC

  • Marriage & Family Therapist
  • Victoria, MN
  • NPI 1982900510

  MN

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1164065868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1957 SCHOOLMASTER DR",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553184554",
            "telephone_number": "732-979-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BLUE GENTIAN RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211674",
            "telephone_number": "651-348-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINNOCK",
        "first_name": "KAREN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PH.D, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP6468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "GUSZKOWSKI",
            "middle_name": "NICOLE",
            "credential": "NONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Monique Cherrier, LADC
• Tammy Anne Chiesa, MD
• Children'S Therapy Center, Inc
• Childrens Therapy Center, Inc
• Laura Anne Chilson, FNP
• Chiropractic Partners P.a.
• Chiropractic Wellness Innovations PLLC
• Sara J Choo, CCC-SLP
• Chris Johnson DC LLC
• Christensen Therapy and Consulting

• All providers in Eagan, MN
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.