Individual provider Active NPI

Peggy Louann Karlosky, PH.D.

  • Counseling Psychologist
  • Cookeville, TN
National Provider Identifier
1801938576
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
P0000001385 Issued in TN
Practice address
1716 Heathrow Dr
Cookeville, TN 38506-5552
Phone
(931) 528-1361
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X P0000001385 TN Primary

Addresses

Primary practice location

1716 Heathrow Dr
Cookeville, TN 38506-5552

Mailing address

1716 Heathrow Dr
Cookeville, TN 38506-5552
Phone (931) 528-1361

Other identifiers 1

IdentifierTypeStateIssuer
94690OtherTNBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20120308000771 TN Practitioner - Clinical Psychologist 2163681255 Practice locations: Cookeville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1716 Heathrow Dr
Cookeville, TN 38506-5552
Phone (931) 528-1361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P0000001385TNMDCounseling Psychologist
1385TNMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801938576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 HEATHROW DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385065552",
            "telephone_number": "931-528-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 HEATHROW DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385065552",
            "telephone_number": "931-528-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARLOSKY",
        "first_name": "PEGGY",
        "middle_name": "LOUANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TN",
            "license": "P0000001385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "94690",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.