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NPI Code Detail

MEDICARE: MS. KAREN JO BAUKOL M.ED., RN, LPC

MEDICARE: MS. KAREN JO BAUKOL M.ED., RN, 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
1101YM0800XMental Health CounselorSD
2163W00000XRegistered NurseR017669SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306865589
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN JO BAUKOL M.ED., RN, LPC
Provider Business Mailing Address
First Line : PO BOX 288
Second Line :
City : RAPID CITY
State : SD
Zip : 57709-0288
Country : US
Telephone Number : 605-348-5401
Fax Number : 605-348-7319
Provider Business Practice Location Address
First Line : 528 QUINCY ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-3628
Country : US
Telephone Number : 605-348-5401
Fax Number : 605-348-7319
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 01/04/2026

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