Provider Demographics
NPI:1730846387
Name:ASKREN, KATIE (PHD, LPC, LSATP, NCC)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:ASKREN
Suffix:
Gender:F
Credentials:PHD, LPC, LSATP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 ODD FELLOWS RD UNIT 12134
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24506-9080
Mailing Address - Country:US
Mailing Address - Phone:434-993-8175
Mailing Address - Fax:
Practice Address - Street 1:3300 ODD FELLOWS RD UNIT 12134
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24506-9080
Practice Address - Country:US
Practice Address - Phone:434-993-8175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-18
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010109101Y00000X, 101YM0800X
VA0718000566101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health