Active NPI
Karen M Lee, LCPC
- Professional Counselor
- Bloomington, IL
National Provider Identifier
1346252954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180-006055
- Practice address
- 712 E Empire St
Bloomington, IL 61701-3252 - Phone
- (309) 826-2593
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180-006055 | IL | Primary |
Addresses
Primary practice location
712 E Empire St
Bloomington, IL 61701-3252
Mailing address
10 Brookstone Cir
Bloomington, IL 61704-8698
Phone (309) 826-2593
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 1, 2024 through Mar 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-006055 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1346252954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BROOKSTONE CIR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617048698",
"telephone_number": "309-826-2593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 E EMPIRE ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617013252",
"telephone_number": "309-826-2593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KAREN",
"middle_name": "M",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-006055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.