Starla Brooke Walton, M.S., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2011026152 Issued in MO

Practice address

601 N Jefferson Ave Ste C
Lebanon, MO 65536-2798

Phone

(417) 616-3315

Fax

(417) 512-7047

NPI assigned

Dec 29, 2011

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Starla Walton Counseling LLC

  • Professional Counselor
  • Lebanon, MO
  • NPI 1447543806

  MO, Professional

  Medicare reassignment NPD Authorized official
• Counseling Services of Starla Walton

  • Mental Health Counselor
  • Lebanon, MO
  • NPI 1164005146

  Mental Health

  NPD Authorized official
• Fair Haven Children'S Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Strafford, MO
  • NPI 1306147277
  NPD (past)

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Master of Science - Law

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 23, 2024.

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1013286509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2947 W MOUNT VERNON ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658025125",
            "telephone_number": "417-365-6031",
            "fax_number": "417-512-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N JEFFERSON AVE STE C",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655362798",
            "telephone_number": "417-616-3315",
            "fax_number": "417-512-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "STARLA",
        "middle_name": "BROOKE",
        "credential": "M.S., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2011026152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
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• Michael White, PA-C

• All providers in Lebanon, MO
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.