Individual provider Active NPI

Valerie J Stark, MS, LPC

  • Mental Health Counselor
  • Howe, OK
National Provider Identifier
1144551722
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5843 Issued in OK
Practice address
25009 US Highway 270
Howe, OK 74940-7221
Phone
(918) 658-4421
NPI assigned
Jan 21, 2010
Last updated
Apr 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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 5843 OK Primary

Addresses

Primary practice location

25009 US Highway 270
Howe, OK 74940-7221

Mailing address

25009 US Highway 270
Howe, OK 74940-7221
Phone (918) 658-4421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240119004012 OK Practitioner - Mental Health Counselor 0042662546 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5843OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Mhsa CurrentSince Jan 1, 2024 Accepting new patients

Locations

307 SW B St
Antlers, OK 74523
Phone (580) 326-8605

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1144551722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25009 US HIGHWAY 270",
            "city": "HOWE",
            "state": "OK",
            "postal_code": "749407221",
            "telephone_number": "918-658-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25009 US HIGHWAY 270",
            "city": "HOWE",
            "state": "OK",
            "postal_code": "749407221",
            "telephone_number": "918-658-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "VALERIE",
        "middle_name": "J",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "5843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howe, OK

Sources for this page

Verify at the official NPI Registry.