Active NPI
Karla Sue Coughenour, RDN, LCMHC, LPC
- Professional Counselor
- Suffolk, VA
National Provider Identifier
1174776041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A13025
- Practice address
- 7007 Porthole PL
Suffolk, VA 23435-3543 - Phone
- (757) 814-3436
- NPI assigned
- Oct 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NC | ||
| Professional Counselor | 101YP2500X | A13025 | NC | Primary |
Addresses
Primary practice location
7007 Porthole PL
Suffolk, VA 23435-3543
Mailing address
7007 Porthole PL
Suffolk, VA 23435-3543
Phone (252) 305-3369
Other names 1
- Karla Croyle
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A13025 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverbank Wellness, LLC | Professional | Current | Accepting new patients |
| Thrivewell Network LLC | Professional | Past | Accepting new patients |
| The Outer Banks Hospital Inc | Past | Accepting new patients |
Locations
214 College Park Plz
Ste 215
Johnstown, PA 15904
Phone (757) 814-3436
Organizations & group practices 3
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.
-
- Professional Counselor
- Johnstown, PA
- NPI 1144151077
-
- Critical Access Hospital
- Nags Head, NC
- NPI 1053375253
-
- Professional Counselor
- Kitty Hawk, NC
- NPI 1003461609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1174776041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7007 PORTHOLE PL",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353543",
"telephone_number": "252-305-3369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7007 PORTHOLE PL",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353543",
"telephone_number": "757-814-3436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUGHENOUR",
"first_name": "KARLA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "RDN, LCMHC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-23",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A13025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARLA",
"last_name": "CROYLE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.