Individual provider Active NPI

Charleen Kay Stroup, LMHC, LPN, CAP, BCPC

  • Mental Health Counselor
  • Sebring, FL
National Provider Identifier
1215089172
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH7283 Issued in FL
Practice address
107 Medical Center Ave
Sebring, FL 33870-5423
Phone
(863) 381-4410
Fax
(863) 382-6299
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP 2646 FL
Mental Health Counselor 101YM0800X MH7283 FL Primary
Licensed Vocational Nurse 164X00000X PN1247231 FL

Addresses

Primary practice location

107 Medical Center Ave
Sebring, FL 33870-5423

Mailing address

107 Medical Center Ave
P.O. Box 8952
Sebring, FL 33870-5423
Phone (863) 381-4410

Other identifiers 2

IdentifierTypeStateIssuer
11530315OtherFLCAQH
8049OtherFLAPA-BCPC

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

State licenses

LicenseStateTypeSpecialty
CAP 2646FLMDAddiction (Substance Use Disorder) Counselor
MH7283FLMDMental Health Counselor
PN1247231FLMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1215089172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MEDICAL CENTER AVE",
            "address_2": "P.O. BOX 8952",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705423",
            "telephone_number": "863-381-4410",
            "fax_number": "863-382-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MEDICAL CENTER AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705423",
            "telephone_number": "863-381-4410",
            "fax_number": "863-382-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUP",
        "first_name": "CHARLEEN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LMHC, LPN, CAP, BCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 2646",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7283",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "FL",
            "license": "PN1247231",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11530315",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APA-BCPC",
            "identifier": "8049",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.