Organization Active NPI

Counseling Services of Starla Walton

  • Mental Health Counselor
  • Lebanon, MO
National Provider Identifier
1164005146
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Mrs. Starla B Walton, MS, LPCNPI 1013286509
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1447543806MedicaidMO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.