Karen Denise Bostick, M.ED., L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

57821 Issued in TX

Practice address

625 S Hewitt Dr
Hewitt, TX 76643-3267

Phone

(806) 928-1453

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

Practice roles

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.

• Beyond the Gray Sky LLC

  • Community/Behavioral Health Agency
  • Arlington, TX
  • NPI 1780976076
  Medicare reassignment NPD

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1255477766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S HEWITT DR",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433267",
            "telephone_number": "806-928-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S HEWITT DR",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433267",
            "telephone_number": "806-928-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTICK",
        "first_name": "KAREN",
        "middle_name": "DENISE",
        "credential": "M.ED., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "57821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182500201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amdar LLC
• Charles Michael Athey
• Julian Omar Ayala Morales, D.C.
• A. Alexander Beaujean, PHD
• Nicholas Frank Benson, PHD
• Brazos Healthcare Partners, LLC
• Brazos Mobile Imaging,Inc.
• Courtney Broaddus, M.S.
• Toni L Brooker
• Heather Nicole Brown, SLP

• Professional Counselor in Hewitt, TX
• Providers in Hewitt, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.