Individual provider Active NPI

Karen Massie Wittman, LPC-MHSP

  • Professional Counselor
  • Franklin, TN
National Provider Identifier
1407381874
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3265 Issued in TN
Practice address
3333 Aspen Grove Dr Ste 140
Franklin, TN 37067-4874
Phone
(615) 582-0223
NPI assigned
Apr 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3265 TN Primary

Addresses

Primary practice location

3333 Aspen Grove Dr Ste 140
Franklin, TN 37067-4874

Mailing address

3333 Aspen Grove Dr Ste 140
Franklin, TN 37067-4874
Phone (615) 582-0223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI, NE3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240207002339 IA Practitioner - Mental Health Counselor 5698118552 Reassigns benefits to 1 organization
I20240315000837 WI Practitioner - Mental Health Counselor 5698118552 Reassigns benefits to 1 organization
I20240319003245 NE Practitioner - Mental Health Counselor 5698118552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Evizzit of Iowa Psychiatry PCGroup PAC ID 2860825924, 52 clinicians

Practice addresses (Care Compare)

120 Park Ave
Hebron, NE 68370-2019
Phone (402) 768-6041

1501 42ND St
Suite 575
West Des Moines, IA 50266-1060
Phone (855) 270-3625

323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (855) 270-3625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3576NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evizzit of Iowa Psychiatry PC CurrentSince Jan 1, 2024 Accepting new patients
Evizzit of Iowa Psychiatry PC PastSince Dec 26, 2021 Accepting new patients

Locations

1501 42nd St
Ste 120
West Des Moines, IA 50266

1501 42nd St
Ste 575
West Des Moines, IA 50266
Phone 8552703625171

120 Park Ave
Hebron, NE 68370
Phone (402) 768-6041

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

8 Cadillac Dr
Ste 230
Brentwood, TN 37027
Phone (615) 647-0750

323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566

Interoperability endpoints

  • Direct secure messaging: karen.wittman.1@31765.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1407381874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 ASPEN GROVE DR STE 140",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370674874",
            "telephone_number": "615-582-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 ASPEN GROVE DR STE 140",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370674874",
            "telephone_number": "615-582-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTMAN",
        "first_name": "KAREN",
        "middle_name": "MASSIE",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.