Karen Lee McCarty, MED, LPC
Individual provider Active NPI Professional Counselor · Buffalo Gap, TX
NPI 1376323451 · NPPES record last updated Jan 19, 2024
Key facts
- NPI
- 1376323451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 87053 (TX)
- Practice address
- 525 Pecan St # 501
Buffalo Gap, TX 79508-2232 - Phone
- (325) 660-6075
- NPI assigned
- Oct 5, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87053 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine Medical Providers PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 87053 | TX | Yes |
| Professional Counselor | 101YP2500X | TX |
Addresses
Primary practice location
525 Pecan St # 501
Buffalo Gap, TX 79508-2232
Mailing address
525 Pecan St # 501
Buffalo Gap, TX 79508-2232
Phone (325) 660-6075
Other providers in Buffalo Gap, TX
All providers in Buffalo Gap, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.