Karen Balderrama, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW-1610 Issued in AZ

Practice address

5050 N 8TH PL
Suite 8
Phoenix, AZ 85014-3202

Phone

(602) 285-9696

Fax

(602) 277-5930

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• A Wisermind LLC

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1053619874
  NPD
• Northlight Counseling Associates Inc

  • Mental Health Counselor
  • Mesa, AZ
  • NPI 1912943903
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841215142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 N 8TH PL",
            "address_2": "SUITE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143202",
            "telephone_number": "602-285-9696",
            "fax_number": "602-277-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 N 8TH PL",
            "address_2": "SUITE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143202",
            "telephone_number": "602-285-9696",
            "fax_number": "602-277-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDERRAMA",
        "first_name": "KAREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LCSW-1610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Baldasare, MD
• Marlaine Baldelli, FNP
• Candelario Balderas
• Leslie Balderas
• Jaime A Balderrama, MD
• Ariana Baldevia
• Carlos Antonio Baldit, M.D.
• Wayne Oliver Baldon, DDS
• Imelda Baldos
• Mark E Baldree, MD

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.