Individual provider Active NPI

Karen Michelle Hill, MS

  • Professional Counselor
  • Bemidji, MN
National Provider Identifier
1235489089
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
615 Anne St NW Ste B
Bemidji, MN 56601-4481
Phone
(218) 444-2233
Fax
(218) 237-2520
NPI assigned
Sep 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

615 Anne St NW Ste B
Bemidji, MN 56601-4481

Mailing address

515 Bridge St
Park Rapids, MN 56470-1210
Phone (218) 366-9229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240117000988 MN Practitioner - Mental Health Counselor 6709238660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Country Associates, Inc.Group PAC ID 3779610472, 11 clinicians

Practice addresses (Care Compare)

515 Bridge St
Park Rapids, MN 56470-1210
Phone (218) 366-9229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Country Associates, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Peterson Medical Clinics, LLC PastSince Jan 1, 2024 Accepting new patients

Locations

615 Anne St NW
Ste B
Bemidji, MN 56601
Phone (218) 333-8509

615 Anne St NW
Bemidji, MN 56601

515 Bridge St
Park Rapids, MN 56470
Phone (218) 252-0066

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1235489089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 BRIDGE ST",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701210",
            "telephone_number": "218-366-9229",
            "fax_number": "218-237-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 ANNE ST NW STE B",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014481",
            "telephone_number": "218-444-2233",
            "fax_number": "218-237-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "KAREN",
        "middle_name": "MICHELLE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

Verify at the official NPI Registry.