Active NPI
Counseling Services of Starla Walton
- Mental Health Counselor
- Lebanon, MO
National Provider Identifier
1164005146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- COUNSELING SERVICES OF STARLA WALTON
- Practice address
- 601 N Jefferson Ave Ste C
Lebanon, MO 65536-2798 - Phone
- (417) 365-6031
- Fax
- (417) 512-7047
- NPI assigned
- Apr 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Starla B Walton, MS, LPC
- Title
- Owner
- Phone
- (417) 365-6031
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
601 N Jefferson Ave Ste C
Lebanon, MO 65536-2798
Mailing address
2947 W Mount Vernon St
Springfield, MO 65802-5125
Phone (417) 365-6031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447543806 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
601 N Jefferson Ave
Ste C
Lebanon, MO 65536
Phone (417) 365-6031
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619568000000",
"number": "1164005146",
"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": "417-365-6031",
"fax_number": "417-512-7047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNSELING SERVICES OF STARLA WALTON",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-28",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A",
"authorized_official_last_name": "WALTON",
"authorized_official_first_name": "STARLA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "417-365-6031",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS, LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447543806",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.