Active NPI
Karen Ann Dubose, M.S.N, C.S., R.N.
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1992915011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- RNNC085531 011622
- Practice address
- 1018 East Blvd
Suite 3
Charlotte, NC 28203-5803 - Phone
- (704) 372-0051
- NPI assigned
- May 24, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RNNC085531 011622 | NC | Primary |
Addresses
Primary practice location
1018 East Blvd
Suite 3
Charlotte, NC 28203-5803
Mailing address
927 Trentle CT
Charlotte, NC 28211-5673
Phone (703) 364-1246
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNNC085531 011622 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992915011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 TRENTLE CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282115673",
"telephone_number": "703-364-1246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 EAST BLVD",
"address_2": "SUITE 3",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035803",
"telephone_number": "704-372-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOSE",
"first_name": "KAREN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.S.N, C.S., R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "RNNC085531 011622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.