Healthcare Provider Details

I. General information

NPI: 1366144982
Provider Name (Legal Business Name): KARSTEN K BEKEMEIER LPC, CRC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 03/20/2023
Certification Date: 03/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2399 KINGS CROSS
EAST LANSING MI
48823-7735
US

IV. Provider business mailing address

2399 KINGS CROSS
EAST LANSING MI
48823-7735
US

V. Phone/Fax

Practice location:
  • Phone: 517-416-3926
  • Fax:
Mailing address:
  • Phone: 517-416-3926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number6401008290
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: