Individual provider Active NPI

Karen Conklin, LPC

  • Professional Counselor
  • Sayre, PA
National Provider Identifier
1669877197
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC014851 Issued in PA
Practice address
703 S Elmer Ave Ste 105
Sayre, PA 18840-2400
Phone
(570) 570-8909
NPI assigned
Oct 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC014851 PA Primary

Addresses

Primary practice location

703 S Elmer Ave Ste 105
Sayre, PA 18840-2400

Mailing address

703 S Elmer Ave Ste 105
Sayre, PA 18840-2400
Phone (570) 890-9070

Other identifiers 1

IdentifierTypeStateIssuer
1045431870001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219001804 PA Practitioner - Mental Health Counselor 4587011754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

703 S Elmer Ave
Suite 105
Sayre, PA 18840-2400
Phone (570) 890-9070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful and Kinetic Counseling LLC Mental Health CurrentSince Oct 25, 2023 Accepting new patients

Locations

703 S Elmer Ave
Ste 105
Sayre, PA 18840
Phone (570) 570-8909

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": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1669877197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 S ELMER AVE STE 105",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188402400",
            "telephone_number": "570-890-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 S ELMER AVE STE 105",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188402400",
            "telephone_number": "570-570-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "KAREN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1045431870001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayre, PA

Sources for this page

Verify at the official NPI Registry.