Active NPI
Karen Goldman Marullo, LPC
- Professional Counselor
- Homewood, AL
National Provider Identifier
1497709935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1000
- Practice address
- 2909 Crescent Avenue
Homewood, AL 35209 - Phone
- (205) 530-6855
- Fax
- (205) 510-2790
- NPI assigned
- May 20, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1000 | AL | Primary |
Addresses
Primary practice location
2909 Crescent Avenue
Homewood, AL 35209
Mailing address
1145 South 52ND Street
Birmingham, AL 35222
Phone (205) 530-6855
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6227769 | Other | UNITED BEHAVIORAL HEALTH | |
| 51516251 | Other | AL | BLUE CROSS BLUE SHIELD |
| 330000034 | Medicaid | AL | |
| 51521563 | Other | AL | BLUE CROSS BLUE SHIELD |
| 6284664 | Other | AL | ALL KIDS INSURANCE |
Other names 1
- Ms. Karen Goldman Olshan
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1000 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1497709935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 SOUTH 52ND STREET",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35222",
"telephone_number": "205-530-6855",
"fax_number": "205-510-2790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2909 CRESCENT AVENUE",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "35209",
"telephone_number": "205-530-6855",
"fax_number": "205-510-2790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARULLO",
"first_name": "KAREN",
"middle_name": "GOLDMAN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "1000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6227769",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51516251",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330000034",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51521563",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL KIDS INSURANCE",
"identifier": "6284664",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "OLSHAN",
"middle_name": "GOLDMAN",
"prefix": "MS.",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Homewood, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.