Individual provider Active NPI

Karen Kay Hasse, PH.D., L.P.

  • Psychologist
  • Chanhassen, MN
National Provider Identifier
1972642114
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP2671 Issued in MN
Practice address
80 West 78TH Street
Suite 227
Chanhassen, MN 55317-8721
Phone
(952) 934-9175
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP2671 MN Primary

Addresses

Primary practice location

80 West 78TH Street
Suite 227
Chanhassen, MN 55317-8721

Mailing address

80 West 78TH Street
Suite 227
Chanhassen, MN 55317-8721
Phone (952) 934-9175

Other identifiers 2

IdentifierTypeStateIssuer
68550HAOtherMNBLUE CROSS BLUE SHIELD
57644HAOtherMNBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 18, 2018 through Jan 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP2671MNMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972642114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WEST 78TH STREET",
            "address_2": "SUITE 227",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553178721",
            "telephone_number": "952-934-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WEST 78TH STREET",
            "address_2": "SUITE 227",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553178721",
            "telephone_number": "952-934-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSE",
        "first_name": "KAREN",
        "middle_name": "KAY",
        "credential": "PH.D., L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP2671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "68550HA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "57644HA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

Verify at the official NPI Registry.