Individual provider Active NPI

Karen Lynn Peck, LPC

  • Professional Counselor
  • Stigler, OK
National Provider Identifier
1881754323
Registry record updated Nov 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006739 Issued in VA
Practice address
109 E Main St Unit D
Stigler, OK 74462-2704
Phone
(918) 442-9847
Fax
(239) 399-7531
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0718000325 VA
Professional Counselor 101YP2500X 10666 OK
Professional Counselor 101YP2500X 0701006739 VA Primary

Addresses

Primary practice location

109 E Main St Unit D
Stigler, OK 74462-2704

Mailing address

11378 W Highway 9
Stigler, OK 74462-3609
Phone (409) 409-0115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240618000450 OK Practitioner - Mental Health Counselor 0244773331 Reassigns benefits to 1 organization
I20251010001160 DC Practitioner - Mental Health Counselor 0244773331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

109 E Main St
Unit D
Stigler, OK 74462-2704
Phone (918) 442-9847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0718000325VAMDAddiction (Substance Use Disorder) Counselor
0701006739VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
National Capital Treatment and Recovery Addiction (Substance Use Disorder) CurrentSince Aug 25, 2025 Accepting new patients
National Capital Treatment and Recovery-Maryland Addiction (Substance Use Disorder) CurrentSince Aug 25, 2025 Accepting new patients
Junction Refuge Counseling & Dui School Inc CurrentSince Apr 1, 2024 Accepting new patients

Locations

109 E Main St
Unit D
Stigler, OK 74462
Phone (918) 438-5477

46 S Glebe Rd
Ste 300
Arlington, VA 22204

200 N Glebe Rd
Ste 104
Arlington, VA 22203

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731196800000",
    "number": "1881754323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11378 W HIGHWAY 9",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744623609",
            "telephone_number": "409-409-0115",
            "fax_number": "539-399-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E MAIN ST UNIT D",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744622704",
            "telephone_number": "918-442-9847",
            "fax_number": "239-399-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-11-10",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000325",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "10666",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stigler, OK

Sources for this page

Verify at the official NPI Registry.