Individual provider Active NPI

Karen Elizabeth Herrell

  • Mental Health Counselor
  • Staunton, VA
National Provider Identifier
1508537580
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701010817 Issued in VA
Practice address
1215 N Augusta St
Staunton, VA 24401-3203
Phone
(540) 885-8841
NPI assigned
Sep 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701010817 VA Primary

Addresses

Primary practice location

1215 N Augusta St
Staunton, VA 24401-3203

Mailing address

210 Holly Hill Dr
Bridgewater, VA 22812-1036
Phone (540) 246-4301

Other practice location 1

58 Kenmore St
Harrisonburg, VA 22801-4338
Phone (540) 246-4301

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 18, 2024 through Mar 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701010817VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Psychological Services, LLC PastSince Mar 7, 2021 Accepting new patients

Organizations & group practices 1

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": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1508537580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HOLLY HILL DR",
            "city": "BRIDGEWATER",
            "state": "VA",
            "postal_code": "228121036",
            "telephone_number": "540-246-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N AUGUSTA ST",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244013203",
            "telephone_number": "540-885-8841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58 Kenmore St",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228014338",
            "country_code": "US",
            "telephone_number": "540-246-4301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRELL",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701010817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

Verify at the official NPI Registry.