MEDICARE: KARI JANE BARNES LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	3582-125	WI
2	101YP2500X	Professional Counselor	6095	TN

General Provider Information

NPI Number	:	1245428846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARI JANE BARNES LPC

Provider Business Mailing Address
First Line	:	101 W BROADWAY FL 2
Second Line	:
City	:	WAUKESHA
State	:	WI
Zip	:	53186-4833
Country	:	US
Telephone Number	:	262-547-5567
Fax Number	:	262-547-1608

Provider Business Practice Location Address
First Line	:	100 SPRINGHOUSE CT STE 200
Second Line	:
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-1610
Country	:	US
Telephone Number	:	865-588-3173
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2007
Last Update Date	:	04/01/2024

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