Active NPI
Karen L Palmer, MSW
- Mental Health Counselor
- Niles, MI
National Provider Identifier
1629240734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6801094053
- Practice address
- 115 S St Joseph Ave
Niles, MI 49120 - Phone
- (269) 684-4270
- Fax
- (269) 684-4070
- NPI assigned
- Mar 28, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | 6801094053 | MI | Primary |
Addresses
Primary practice location
115 S St Joseph Ave
Niles, MI 49120
Mailing address
1485 S M-139
Benton Harbor, MI 49022
Phone (269) 925-0585
Other names 1
- Karen Anderson
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 |
|---|---|---|---|
| 6801094053 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Counselor | Current | Accepting new patients |
Interoperability endpoints
- karenpalmer@tdh.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479859200000",
"number": "1629240734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 S M-139",
"city": "BENTON HARBOR",
"state": "MI",
"postal_code": "49022",
"telephone_number": "269-925-0585",
"fax_number": "269-927-1326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 S ST JOSEPH AVE",
"city": "NILES",
"state": "MI",
"postal_code": "49120",
"telephone_number": "269-684-4270",
"fax_number": "269-684-4070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "KAREN",
"middle_name": "L",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-28",
"last_updated": "2016-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6801094053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "ANDERSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Niles, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.