Individual provider Active NPI

Karen Jean Kavaloski, LPCC

  • Professional Counselor
  • Springfield, MO
National Provider Identifier
1205160199
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2020024537 Issued in MO
Practice address
911 E Rosebrier St
Springfield, MO 65807-3735
Phone
(417) 213-1848
NPI assigned
Sep 24, 2009
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CCMH0197151 NM
Addiction (Substance Use Disorder) Counselor 101YA0400X 2020024537 MO
Mental Health Counselor 101YM0800X 2011041051 MO
Mental Health Counselor 101YM0800X 7492 NC
Mental Health Counselor 101YM0800X CCMH0197151 NM
Mental Health Counselor 101YM0800X 2020024537 MO
Professional Counselor 101YP2500X CCMH0197151 NM
Professional Counselor 101YP2500X 2020024537 MO Primary
Behavior Technician 106S00000X CCMH0197151 NM

Addresses

Primary practice location

911 E Rosebrier St
Springfield, MO 65807-3735

Mailing address

911 E Rosebrier St
Springfield, MO 65807-3735
Phone (417) 213-1848

Other practice location 1

115 W Atlantic St Ste 106
Branson, MO 65616-2476
Phone (417) 544-0703

Other practice location 2

608 W Animas St
Farmington, NM 87401-5987
Phone (505) 327-0002

Other identifiers 1

IdentifierTypeStateIssuer
72980818MedicaidNM

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

LicenseStateTypeSpecialty
2020024537MOMDAddiction (Substance Use Disorder) Counselor
CCMH0197151NMMDAddiction (Substance Use Disorder) Counselor
2011041051MOMDMental Health Counselor
7492NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
San Juan Health and Wellness Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: karenkavaloski@tdh.allscriptsdirect.net

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1205160199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E ROSEBRIER ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073735",
            "telephone_number": "417-213-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E ROSEBRIER ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073735",
            "telephone_number": "417-213-1848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 W Atlantic St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162476",
            "country_code": "US",
            "telephone_number": "417-544-0703",
            "fax_number": "417-544-0703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "608 W Animas St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874015987",
            "country_code": "US",
            "telephone_number": "505-327-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAVALOSKI",
        "first_name": "KAREN",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CCMH0197151",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "2020024537",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2011041051",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7492",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0197151",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2020024537",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0197151",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2020024537",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NM",
            "license": "CCMH0197151",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72980818",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.