Individual provider Active NPI

Karen Marie Debirk, LPC

  • Counselor
  • Springville, UT
National Provider Identifier
1568796522
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4913550-6004 Issued in UT
Practice address
1190 Spring Creek PL
Suite D-2
Springville, UT 84663-3045
Phone
(801) 806-4226
Fax
(801) 806-4227
NPI assigned
Sep 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4913550-6004 UT Primary

Addresses

Primary practice location

1190 Spring Creek PL
Suite D-2
Springville, UT 84663-3045

Mailing address

1190 Spring Creek PL
Suite D-2
Springville, UT 84663-3045
Phone (801) 806-4226

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
4913550-6004UTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Destination Hope Counseling, LLC Past 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": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1568796522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 SPRING CREEK PL",
            "address_2": "SUITE D-2",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846633045",
            "telephone_number": "801-806-4226",
            "fax_number": "801-806-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 SPRING CREEK PL",
            "address_2": "SUITE D-2",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846633045",
            "telephone_number": "801-806-4226",
            "fax_number": "801-806-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBIRK",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "UT",
            "license": "4913550-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.