Individual provider Active NPI

Karen Elizabeth Holen, D.C

  • Chiropractor
  • Clinton, MI
National Provider Identifier
1720072820
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH-60806257 Issued in WA
Practice address
301 W Michigan Ave
Clinton, MI 49236-9502
Phone
(517) 456-7411
NPI assigned
Sep 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 8654DC PA
Rehabilitation Chiropractor 111NR0400X 4285 OH
Chiropractor 111N00000X CH-60806257 WA Primary

Addresses

Primary practice location

301 W Michigan Ave
Clinton, MI 49236-9502

Mailing address

PO Box 616
Clinton, MI 49236-0616
Phone (517) 456-7411

Other practice location 1

506 NE 404th Ct
Washougal, WA 98671-8386
Phone (440) 789-2243

Other practice location 2

5943 state route 7
andover, OH 44003
Phone (440) 689-0688

Other identifiers 6

IdentifierTypeStateIssuer
N335OtherPACARE FIRST
001359906OtherPABLUE SHIELD
1720072820MedicaidOH
2014734OtherPAFIRST HEALTH
7584446OtherPAAETNA
F895KEOtherPACARE FIRST

Other names 1

  • Dr. Karen Elizabeth Barclay Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181026000684 MI Practitioner - Chiropractic 9133284136 Practice locations: Clinton, MI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 W Michigan Ave C
Holen Family Chiropractic
Clinton, MI 48236-9502
Phone (517) 940-4848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH-60806257WAMDChiropractor
8654DCPAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kosmyna Chiropractic Life Center PC Chiropractor CurrentSince Jul 17, 2021 Accepting new patients
Holen Family Chiropractic Chiropractor CurrentSince Jan 1, 1990 Accepting new patients
Barclay Family Chiropractic Chiropractor Past Accepting new patients

Locations

301 W Michigan Ave
Clinton, MI 49236
Phone (517) 260-4712

301 W Michigan Ave
Ste C
Clinton, MI 49236
Phone (517) 940-4848

Organizations & group practices 3

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1720072820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 616",
            "city": "CLINTON",
            "state": "MI",
            "postal_code": "492360616",
            "telephone_number": "517-456-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MICHIGAN AVE",
            "city": "CLINTON",
            "state": "MI",
            "postal_code": "492369502",
            "telephone_number": "517-456-7411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 NE 404th Ct",
            "address_purpose": "LOCATION",
            "city": "Washougal",
            "state": "WA",
            "postal_code": "986718386",
            "country_code": "US",
            "telephone_number": "440-789-2243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5943 state route 7",
            "address_purpose": "LOCATION",
            "city": "andover",
            "state": "OH",
            "postal_code": "44003",
            "country_code": "US",
            "telephone_number": "440-689-0688",
            "fax_number": "440-689-0687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLEN",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "8654DC",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "4285",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH-60806257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST",
            "identifier": "N335",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "001359906",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720072820",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2014734",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7584446",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST",
            "identifier": "F895KE",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "BARCLAY",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.