Active NPI
Karen Lycette, LPC
- Professional Counselor
- Ridgeland, MS
National Provider Identifier
1194178426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2094
- Practice address
- 206 W Jackson St Ste 100
Ridgeland, MS 39157-2310 - Phone
- (769) 300-6370
- NPI assigned
- Jul 21, 2016
- 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 | 2094 | MS | Primary |
Addresses
Primary practice location
206 W Jackson St Ste 100
Ridgeland, MS 39157-2310
Mailing address
136 Virginia Valley Dr
Brandon, MS 39047-4504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 12, 2025 through Mar 12, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2094 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1194178426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 VIRGINIA VALLEY DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390474504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 W JACKSON ST STE 100",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572310",
"telephone_number": "769-300-6370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYCETTE",
"first_name": "KAREN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-21",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "2094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.