Individual provider Active NPI

Karen A. Egan-Blackwood, LMHC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1285608026
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 5126 Issued in FL
Practice address
James a. Haley Veterans Administration Hospital
13000 Bruce B. Downs Boulevard
Tampa, FL 33612
Phone
(813) 610-8923
Fax
(813) 631-7131
NPI assigned
Feb 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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 MH 5126 FL Primary

Addresses

Primary practice location

James a. Haley Veterans Administration Hospital
13000 Bruce B. Downs Boulevard
Tampa, FL 33612

Mailing address

1910 Elk Spring Dr
Brandon, FL 33511-1723
Phone (813) 610-8923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH 5126FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1285608026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ELK SPRING DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335111723",
            "telephone_number": "813-610-8923",
            "fax_number": "813-631-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JAMES A. HALEY VETERANS ADMINISTRATION HOSPITAL",
            "address_2": "13000 BRUCE B. DOWNS BOULEVARD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33612",
            "telephone_number": "813-610-8923",
            "fax_number": "813-631-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN-BLACKWOOD",
        "first_name": "KAREN",
        "middle_name": "A.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 5126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.