Karen A. B. Dehaven, MA, BC-DMT, LPC

Key facts

NPI

1659688166

Entity type

Individual (NPI type 1)

Primary specialty

Professional Counselor 101YP2500X

License

PC004483 (PA)

Practice address

171 E Main St
Perkasie, PA 18944-5422

Phone

(267) 261-3779

NPI assigned

Sep 3, 2010

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Arts

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 3, 2010.

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1659688166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "city": "SILVERDALE",
            "state": "PA",
            "postal_code": "189620103",
            "telephone_number": "267-261-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 E MAIN ST",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "189445422",
            "telephone_number": "267-261-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHAVEN",
        "first_name": "KAREN",
        "middle_name": "A. B.",
        "credential": "MA, BC-DMT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Perkasie, PA · Professional Counselor in Pennsylvania