MEDICARE: KAREN KNAUP LCPC, 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	2001019277	MO
2	101YP2500X	Professional Counselor	LCPC 763	KS

Other Identifiers

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

General Provider Information

NPI Number	:	1356318836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN KNAUP LCPC, LPC

Provider Business Mailing Address
First Line	:	710 W 8TH ST
Second Line	:
City	:	FORT SCOTT
State	:	KS
Zip	:	66701-2404
Country	:	US
Telephone Number	:	620-223-8590
Fax Number	:	620-223-8592

Provider Business Practice Location Address
First Line	:	710 W 8TH ST
Second Line	:
City	:	FORT SCOTT
State	:	KS
Zip	:	66701-2404
Country	:	US
Telephone Number	:	620-223-8590
Fax Number	:	620-223-8592

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

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	02/07/2011

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Directions to “ KAREN KNAUP LCPC, LPC” Practice Location

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