Individual provider Active NPI

Karen Lynn Henson, MA, LPA

  • Clinical Psychologist
  • Conover, NC
National Provider Identifier
1699893131
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1828 Issued in NC
Practice address
4360 County Home Road
Conover, NC 28613
Phone
(828) 465-7668
Fax
(828) 256-7711
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LPA 1828 NC
Clinical Psychologist 103TC0700X 1828 NC Primary

Addresses

Primary practice location

4360 County Home Road
Conover, NC 28613

Mailing address

4360 County Home Road
Conover, NC 28613
Phone (828) 465-7668

Other identifiers 1

IdentifierTypeStateIssuer
6107338MedicaidNC

Other names 1

  • Karen Lynn Brown Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPA 1828NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Advocacy Center of Catawba County Clinical 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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1699893131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 COUNTY HOME ROAD",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "28613",
            "telephone_number": "828-465-7668",
            "fax_number": "828-256-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 COUNTY HOME ROAD",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "28613",
            "telephone_number": "828-465-7668",
            "fax_number": "828-256-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "credential": "MA, LPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "LPA 1828",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107338",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "BROWN",
            "middle_name": "LYNN",
            "credential": "MA, LPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.

Verify at the official NPI Registry.