Individual provider Active NPI

Karen Vaden Kuebler

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1235874520
Registry record updated May 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S11395 Issued in NC
Practice address
3616 Shannon Rd Ste 200
Durham, NC 27707-1082
Phone
(919) 551-5501
Fax
(919) 551-5499
NPI assigned
May 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2022

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 S11395 NC Primary

Addresses

Primary practice location

3616 Shannon Rd Ste 200
Durham, NC 27707-1082

Mailing address

502 Childsberg Way
Hillsborough, NC 27278-2081

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 6, 2025 through Mar 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S11395NCMDMental Health Counselor
11395NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Therapeutic Services, PLLC PastSince May 8, 2022 Accepting new patients

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": "1651363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1235874520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 CHILDSBERG WAY",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 SHANNON RD STE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277071082",
            "telephone_number": "919-551-5501",
            "fax_number": "919-551-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEBLER",
        "first_name": "KAREN",
        "middle_name": "VADEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-01",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S11395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.