Individual provider Active NPI

Karen J Suppes, LMHC

  • Mental Health Counselor
  • Valparaiso, IN
National Provider Identifier
1831163914
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39004005A Issued in IN
Practice address
2004 Valparaiso St
Valparaiso, IN 46383-3138
Phone
(219) 321-8990
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39004005A IN Primary
Professional Counselor 101YP2500X 180.007680 IL

Addresses

Primary practice location

2004 Valparaiso St
Valparaiso, IN 46383-3138

Mailing address

2004 Valparaiso St
Valparaiso, IN 46383-3138
Phone (219) 477-5646

Other identifiers 1

IdentifierTypeStateIssuer
300058838MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20231130002436 IN Practitioner - Mental Health Counselor 6800244831 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.007680ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Concern Counseling Incorporated Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

2004 Valparaiso St
Valparaiso, IN 46383
Phone (219) 464-1089

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1831163914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 VALPARAISO ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833138",
            "telephone_number": "219-477-5646",
            "fax_number": "219-728-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 VALPARAISO ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833138",
            "telephone_number": "219-321-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPPES",
        "first_name": "KAREN",
        "middle_name": "J",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004005A",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007680",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300058838",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.