Individual ProviderKaren J SuppesCounselorBehavioral Health & Social Service ProvidersPractice Address2004 Valparaiso St, Valparaiso, IN 46383-3138(219) 321-8990(219) 477-5646PECOS EnrollmentThis provider is enrolled in PECOS as KAREN SUPPES.Based on the most recent information from CMS, provider Karen J Suppes is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1831163914Provider TypeIndividualFull NameSuppes, Karen JCredentialLMHCGenderFemaleSole ProprietorNoEnumeration Date2/15/2006Last Updated10/24/2024Contact InformationPractice LocationPractice Address2004 Valparaiso St, Valparaiso, IN 46383-3138Phone(219) 321-8990FaxUnlisted FaxMailing LocationMailing Address2004 Valparaiso St, Valparaiso, IN 46383-3138Phone(219) 477-5646Fax(219) 728-4765Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense39004005AIndianaCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense180.007680IllinoisProvider IdentifiersIDDescriptionIssuerID300058838DescriptionMedicaidIssuerUnlistedIndiana