Active NPI
Karen Yolanda Clemmons Garner, LPC
- Professional Counselor
- Winston Salem, NC
National Provider Identifier
1295781599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC2228
- Practice address
- 3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013 - Phone
- (336) 718-3694
- Fax
- (336) 718-9892
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP194 | ||
| Professional Counselor | 101YP2500X | LC2228 | MD | Primary |
Addresses
Primary practice location
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Mailing address
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-3694
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 259147-000 | Other | MD | MAGELLAN-ESPS GROUP# |
| 609550004 | Medicaid | MD | |
| 609550001 | Medicaid | MD | |
| 522156095 | Other | MD | NCPPO |
| 517251 | Other | MD | UHC-UBH-ESPS GROUP |
| 892908-01 | Other | MD | CAREFIRST BCBS PIN |
| 986965400 | Medicaid | MD | |
| 609550002 | Medicaid | MD | |
| LM49EA | Other | MD | CAREFIRST LOCAL-ESPS GROU |
| 0034 | Other | MD | CAREFIRST BCBS-FEDERAL |
| 522156095 | Other | MD | AMERICAN PSYCH SYSTEM |
| R968 | Other | MD | CAREFIRST FEDERAL-ESPS GR |
Other names 1
- Ms. Karen Clemmons
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250520000530 | MD | Practitioner - Mental Health Counselor | 7012435415 | Practice locations: Baltimore, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC2228 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1295781599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 SILAS CREEK PKWY",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033013",
"telephone_number": "336-718-3694",
"fax_number": "336-718-9892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 SILAS CREEK PKWY",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033013",
"telephone_number": "336-718-3694",
"fax_number": "336-718-9892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNER",
"first_name": "KAREN",
"middle_name": "YOLANDA CLEMMONS",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "LGP194",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC2228",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN-ESPS GROUP#",
"identifier": "259147-000",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "609550004",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "609550001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "522156095",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC-UBH-ESPS GROUP",
"identifier": "517251",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS PIN",
"identifier": "892908-01",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "986965400",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "609550002",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST LOCAL-ESPS GROU",
"identifier": "LM49EA",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS-FEDERAL",
"identifier": "0034",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN PSYCH SYSTEM",
"identifier": "522156095",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST FEDERAL-ESPS GR",
"identifier": "R968",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "CLEMMONS",
"prefix": "MS.",
"credential": "LCPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.