Karol Lynn Chubb

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101007413 Issued in MI

Practice address

1048 Duquesa Dr
Lake Isabella, MI 48893-9392

Phone

(810) 986-1780

NPI assigned

Jan 25, 2022

Last updated

Sep 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bravely Building Therapy Center, LLC

  • Marriage & Family Therapist
  • Lake Isabella, MI
  • NPI 1902653041
  NPD Authorized official

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1528710076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 DUQUESA DR",
            "city": "LAKE ISABELLA",
            "state": "MI",
            "postal_code": "488939392",
            "telephone_number": "810-986-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 DUQUESA DR",
            "city": "LAKE ISABELLA",
            "state": "MI",
            "postal_code": "488939392",
            "telephone_number": "810-986-1780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Genoa Business Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481145328",
            "country_code": "US",
            "telephone_number": "810-449-7180 x106",
            "fax_number": "248-692-4936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUBB",
        "first_name": "KAROL",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101007413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bravely Building Therapy Center, LLC
• James Guenther
• Linda Jean Martin
• Starry Night Art and Nature Conservatory
• Samantha Villines

• Marriage & Family Therapist in Lake Isabella, MI
• Providers in Lake Isabella, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.