Individual provider Active NPI

Karen Marie Holder-Duroc, LPC

  • Professional Counselor
  • Town and Country, MO
National Provider Identifier
1447899083
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2016045168 Issued in MO
Practice address
257 Lamp and Lantern VLG
Town and Country, MO 63017-8209
Phone
(636) 244-9020
NPI assigned
Dec 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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 2016045168 MO Primary

Addresses

Primary practice location

257 Lamp and Lantern VLG
Town and Country, MO 63017-8209

Mailing address

257 Lamp and Lantern VLG
Town and Country, MO 63017-8209
Phone (636) 244-9020

Other names 1

  • Karen Marie Dubroc Other name

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
2016045168MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1447899083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 LAMP AND LANTERN VLG",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630178209",
            "telephone_number": "636-244-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 LAMP AND LANTERN VLG",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630178209",
            "telephone_number": "636-244-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER-DUROC",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2016045168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "DUBROC",
            "middle_name": "MARIE",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Town and Country, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.