Healthcare Provider Details

I. General information

NPI: 1356120380
Provider Name (Legal Business Name): KAREN C KASPERN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2023
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1247 SUSSEX TPKE STE 210
RANDOLPH NJ
07869-2943
US

IV. Provider business mailing address

1247 SUSSEX TPKE STE 210
RANDOLPH NJ
07869-2943
US

V. Phone/Fax

Practice location:
  • Phone: 973-685-5668
  • Fax:
Mailing address:
  • Phone: 973-561-2013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00593400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: