Individual provider Active NPI

Karrie Greenawalt, LPC

  • Professional Counselor
  • Conroe, TX
National Provider Identifier
1700340395
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13624 Issued in TX
Practice address
704 N Thompson St Ste 189
Conroe, TX 77301-2066
Phone
(936) 524-6650
Fax
(281) 419-1811
NPI assigned
Jan 28, 2019
Last updated
Jan 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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 13624 TX Primary

Addresses

Primary practice location

704 N Thompson St Ste 189
Conroe, TX 77301-2066

Mailing address

704 N Thompson St Ste 189
Conroe, TX 77301-2066
Phone (936) 524-6650

Other names 1

  • Karemena Knudson 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

State licenses

LicenseStateTypeSpecialty
13624TXMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1700340395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 N THOMPSON ST STE 189",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012066",
            "telephone_number": "936-524-6650",
            "fax_number": "281-419-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N THOMPSON ST STE 189",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012066",
            "telephone_number": "936-524-6650",
            "fax_number": "281-419-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENAWALT",
        "first_name": "KARRIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREMENA",
            "last_name": "KNUDSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.