Individual provider Active NPI

Karen Kingera Burgos, LPC

  • Mental Health Counselor
  • State College, PA
National Provider Identifier
1225746662
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC015056 Issued in PA
Practice address
315 S Allen St Ste 117&218
State College, PA 16801-4849
Phone
(814) 400-5080
NPI assigned
Nov 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC015056 PA Primary

Addresses

Primary practice location

315 S Allen St Ste 117&218
State College, PA 16801-4849

Mailing address

PO Box 1945
Wilmington, NC 28402
Phone (910) 341-4556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20241212000739 PA Practitioner - Mental Health Counselor 4981130036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centre Counseling and Wellness LLCGroup PAC ID 8527413400, 4 clinicians

Practice addresses (Care Compare)

315 S Allen St
State College, PA 16801-4851
Phone (814) 308-0704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC015056PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Centre Counseling and Wellness, LLC Mental Health CurrentSince Nov 20, 2024 Accepting new patients

Locations

315 S Allen St
Ste 326
State College, PA 16801
Phone (814) 308-0704

2541 E College Ave
Ste 105
State College, PA 16801
Phone (814) 308-0704

315 S Allen St
Ste 117
State College, PA 16801
Phone (814) 308-0704

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1225746662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1945",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28402",
            "telephone_number": "910-341-4556",
            "fax_number": "866-363-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S ALLEN ST STE 117&218",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014849",
            "telephone_number": "814-400-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "KAREN",
        "middle_name": "KINGERA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC015056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.