Carol Lynn Pasewark, M.ED., LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2004000710 Issued in MO

Practice address

650 Joel Dr
Fort Campbell, KY 42223-5318

Phone

(270) 412-3112

NPI assigned

Jul 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mrs. Carol Lynn Parker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1982601803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-956-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-412-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASEWARK",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.ED., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2004000710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CEDAR RIDGE NPI",
            "identifier": "1437294816",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BILLING NPI",
            "identifier": "1649269622",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "PARKER",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Sophia Papadopoulos, OTD, OTR/L
• Amy Michelle Papszycki, CNM
• Ki Hong Park, D.M.D
• Kimberly Anne Parker, LPN
• Ralph Preston Parker Jr., R.N.
• Cynthia B Pasley, RN
• Dhruvkumar Patel, MD
• Anthony W Patterson, O.D.
• David N Patterson, PHARM.D., BCPS
• Vickie A Patton-Currie, PA-C

• Counselor in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.