Karen Irvin

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0000627 Issued in DE

Practice address

31168 Learning LN
Lewes, DE 19958-3685

Phone

(302) 645-5338

NPI assigned

Jun 24, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Miss Karen Pettyjohn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1215248232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31168 LEARNING LN",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31168 LEARNING LN",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583685",
            "telephone_number": "302-645-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVIN",
        "first_name": "KAREN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "0000627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "PETTYJOHN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Insight Diagnostics LLC
• Interventional Cardiovascular Associates, P.a.
• Betty Ann Ippolito, RN
• Irene C. Viola, MD, PA
• Chastity Irvin
• Robert A Irwin, M.S., CCC-SLP
• Eugene E Isaac, P.A.-C
• Malick G Islam, MD, FACC
• Anastasiia S Israel, NP
• Stephen M Israel, NP

• Professional Counselor in Lewes, DE
• Providers in Lewes, DE by specialty
• Professional Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.