Karen L Douglas, LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

D68014247354662 Issued in NJ

Practice address

253 18TH Avenue
Paterson, NJ 07504

Phone

(973) 452-8566

Fax

(188) 291-1727

NPI assigned

Jun 18, 2010

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1962723429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 18TH AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041625",
            "telephone_number": "973-452-8566",
            "fax_number": "188-829-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 18TH AVENUE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07504",
            "telephone_number": "973-452-8566",
            "fax_number": "188-291-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "D68014247354662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Renee Donovan, DO
• Rita Donyina-Ameyaw, NP
• Dimitrios Vasilios Doris, D.C.
• Shideh Doroudi, MD
• Desira Douglas
• Dr Luis F Luna MD LLC
• Dr Luis F Luna MD LLC
• Dr Mathias Zemel, LLC
• Dr, Richard a. Monti, DPM, PA
• Howard Dreznin, MD

• Addiction (Substance Use Disorder) Counselor in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.