Individual provider Active NPI

Stalin George, L.M.H.C

  • Mental Health Counselor
  • Grinnell, IA
National Provider Identifier
1013343540
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
092421 Issued in IA
Practice address
817 4TH Ave
Grinnell, IA 50112-2042
Phone
(641) 323-2729
Fax
(888) 920-1276
NPI assigned
Sep 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 092421 IA Primary

Addresses

Primary practice location

817 4TH Ave
Grinnell, IA 50112-2042

Mailing address

604 Liberty St Ste 133
Pella, IA 50219-1776
Phone (641) 230-9093

Other practice location 1

604 Liberty St Ste 133
Pella, IA 50219-1776
Phone (641) 230-9093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208002292 IA Practitioner - Mental Health Counselor 8921457409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prairie Ridge Integrated Behavioral HealthcareGroup PAC ID 6800169194, 22 clinicians

Practice addresses (Care Compare)

320 N Eisenhower Ave
Mason City, IA 50401-1521
Phone (641) 424-2391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Family Counseling CurrentSince Mar 3, 2025 Accepting new patients
Prairie Ridge Integrated Behavioral Healthcare CurrentSince Nov 1, 2025 Accepting new patients
Prairie Ridge Integrated Behavioral Healthcare CurrentSince Nov 1, 2025 Accepting new patients
Good News Counseling Professional Limited Liability Company Mental Health CurrentSince May 18, 2025 Accepting new patients
Vermeer Quist Consulting, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

817 4th Ave
Grinnell, IA 50112
Phone (641) 323-2729

320 N Eisenhower Ave
Mason City, IA 50401
Phone (641) 423-1481

604 Liberty St
Ste 133
Pella, IA 50219
Phone (641) 230-9093

1701 48th St
Ste 120
West Des Moines, IA 50266
Phone (515) 224-1474

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1013343540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 LIBERTY ST STE 133",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191776",
            "telephone_number": "641-230-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122042",
            "telephone_number": "641-323-2729",
            "fax_number": "888-920-1276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 Liberty St Ste 133",
            "address_purpose": "LOCATION",
            "city": "Pella",
            "state": "IA",
            "postal_code": "502191776",
            "country_code": "US",
            "telephone_number": "641-230-9093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "STALIN",
        "name_prefix": "Mr.",
        "credential": "L.M.H.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-16",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "092421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grinnell, IA

Sources for this page

Verify at the official NPI Registry.