Active NPI
Karen Tyree Reaves, LPA
- Professional Counselor
- West End, NC
National Provider Identifier
1174753792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3651
- Practice address
- 5228 NC Hwy 211
West End, NC 27376 - Phone
- (910) 673-8520
- NPI assigned
- Jul 16, 2009
- Last updated
- Jun 16, 2011
- 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 | 3651 | NC | Primary |
Addresses
Primary practice location
5228 NC Hwy 211
West End, NC 27376
Mailing address
111 2ND St
Erwin, NC 28339
Phone (434) 222-4765
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 |
|---|---|---|---|
| 3651 | NC | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308182400000",
"number": "1174753792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 2ND ST",
"city": "ERWIN",
"state": "NC",
"postal_code": "28339",
"telephone_number": "434-222-4765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5228 NC HWY 211",
"city": "WEST END",
"state": "NC",
"postal_code": "27376",
"telephone_number": "910-673-8520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAVES",
"first_name": "KAREN",
"middle_name": "TYREE",
"name_prefix": "Ms.",
"credential": "LPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-16",
"last_updated": "2011-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "3651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West End, NC
- Jacquelyn Elizabeth Potynsky, PA-C, ATC
- Psychological Services of the Sandhills, PLLC
- Quality Care Pharmacy of the Sandhills (Quality Care Pharmacy)
- Deepa Ramaswamy, DO
- Anna Long Ray
- Michael Stephen Reese, DPT
- Richard S. Pasko, D.C., PLLC (Seven Lakes Chiropractic Center)
- Sherry L Riley
- Kimberly Ann Rodgers, MS
- Jean Ruggles, PT, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.