Provider Demographics
NPI:1972257707
Name:KARPICKE, STEPHANIE SOMMERS
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:SOMMERS
Last Name:KARPICKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 WIN HENTSCHEL BLVD STE B122
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-4147
Mailing Address - Country:US
Mailing Address - Phone:765-637-4884
Mailing Address - Fax:
Practice Address - Street 1:1435 WIN HENTSCHEL BLVD STE B122
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-4147
Practice Address - Country:US
Practice Address - Phone:765-637-4884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39005622A101YM0800X
IN13476556101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool