Individual provider Active NPI

Karen A. Kazarian, LMHC

  • Mental Health Counselor
  • Worcester, MA
National Provider Identifier
1508966110
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5775 Issued in MA
Practice address
71 Elm St
Worcester, MA 01609-2353
Phone
(508) 277-7212
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5775 MA Primary

Addresses

Primary practice location

71 Elm St
Worcester, MA 01609-2353

Mailing address

7 Jaclyn Rae Dr
Millbury, MA 01527-3372
Phone (508) 581-9784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 23, 2024 through Sep 23, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5775MAMDRehabilitation Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508966110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 JACLYN RAE DR",
            "city": "MILLBURY",
            "state": "MA",
            "postal_code": "015273372",
            "telephone_number": "508-581-9784",
            "fax_number": "508-581-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 ELM ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092353",
            "telephone_number": "508-277-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZARIAN",
        "first_name": "KAREN",
        "middle_name": "A.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.