Active NPI
Karen Collene Pandey, LCMHCA, LCAS CSI
- Mental Health Counselor
- Holly Springs, NC
National Provider Identifier
1639784390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 17723
- Practice address
- 380 Raleigh St.
Holly Springs, NC 27540 - Phone
- (919) 432-7832
- Fax
- (919) 683-1790
- NPI assigned
- Sep 10, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 17723 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 26166 | NC |
Addresses
Primary practice location
380 Raleigh St.
Holly Springs, NC 27540
Mailing address
109 Azalea View Way
Holly Springs, NC 27540
Phone (239) 216-2550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-7800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17723 | NC | MD | Pharmacist |
| 26166 | NC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina Hospitals at Chapel Hill | Current | Accepting new patients | |
| University of North Carolina Hospitals at Chapel Hill | Current | Accepting new patients | |
| University of North Carolina Hospitals at Chapel Hill | Current | Accepting new patients | |
| Reframe Counseling Services, PLLC | Past | Accepting new patients | |
| Baart Community Healthcare | Past | Accepting new patients |
Locations
1101 Weaver Dairy Rd
Ste 103
Chapel Hill, NC 27514
Phone (919) 966-6097
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
Organizations & group practices 5
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.
-
- Interventional Cardiology Physician
- Chapel Hill, NC
- NPI 1568070308
-
- Family Medicine Physician
- Kinston, NC
- NPI 1114771771
-
- Community/Retail Pharmacy
- Morrisville, NC
- NPI 1134928542
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Durham, NC
- NPI 1376075556
-
- Counselor
- Holly Springs, NC
- NPI 1194283507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1639784390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 AZALEA VIEW WAY",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "27540",
"telephone_number": "239-216-2550",
"fax_number": "919-683-1790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 RALEIGH ST.",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "27540",
"telephone_number": "919-432-7832",
"fax_number": "919-683-1790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDEY",
"first_name": "KAREN",
"middle_name": "COLLENE",
"name_prefix": "Mrs.",
"credential": "LCMHCA, LCAS CSI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "17723",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "26166",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holly Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.