Active NPI
Karen Mattson Stull, M.A., LMHC
- Mental Health Counselor
- North Port, FL
National Provider Identifier
1144556580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 10984
- Practice address
- 6929 Outreach Way
North Port, FL 34287-3493 - Phone
- (941) 371-8820
- Fax
- (941) 426-0324
- NPI assigned
- Oct 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 10984 | FL | Primary |
Addresses
Primary practice location
6929 Outreach Way
North Port, FL 34287-3493
Mailing address
6929 Outreach Way
North Port, FL 34287-3493
Phone (941) 371-8820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 10984 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1144556580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6929 OUTREACH WAY",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342873493",
"telephone_number": "941-371-8820",
"fax_number": "941-426-0324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6929 OUTREACH WAY",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342873493",
"telephone_number": "941-371-8820",
"fax_number": "941-426-0324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STULL",
"first_name": "KAREN",
"middle_name": "MATTSON",
"name_prefix": "Mrs.",
"credential": "M.A., LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-20",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 10984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Port, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.