Provider Demographics
NPI:1174060842
Name:RASMUSSEN S, KAREN (LMHC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:RASMUSSEN S
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:RASMUSSEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:PO BOX 8636
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-8636
Mailing Address - Country:US
Mailing Address - Phone:914-353-3248
Mailing Address - Fax:
Practice Address - Street 1:303 5TH AVE RM 405
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6643
Practice Address - Country:US
Practice Address - Phone:914-353-3248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-19
Last Update Date:2021-03-03
Deactivation Date:2018-10-24
Deactivation Code:
Reactivation Date:2019-10-23
Provider Licenses
StateLicense IDTaxonomies
NY101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health