Active NPI
Karen Lyon Lindwall-Bourg, LPC
- Professional Counselor
- McKinney, TX
National Provider Identifier
1922396563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 61581
- Practice address
- 1216 N Central Expy
Suite 200
McKinney, TX 75070-3310 - Phone
- (214) 491-1991
- NPI assigned
- Jul 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 61581 | TX | Primary |
Addresses
Primary practice location
1216 N Central Expy
Suite 200
McKinney, TX 75070-3310
Mailing address
4219 County Road 277
Melissa, TX 75454-1705
Phone (214) 585-2266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61581 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1922396563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4219 COUNTY ROAD 277",
"city": "MELISSA",
"state": "TX",
"postal_code": "754541705",
"telephone_number": "214-585-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 N CENTRAL EXPY",
"address_2": "SUITE 200",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750703310",
"telephone_number": "214-491-1991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDWALL-BOURG",
"first_name": "KAREN",
"middle_name": "LYON",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-18",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "61581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.