Kiran W Starosta, L.C.S.W.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0904001022 Issued in VA

Practice address

3015 Rosemoor LN
Fairfax
Fairfax, VA 22031-2126

Phone

(703) 280-5131

Fax

(703) 876-8440

NPI assigned

Jul 16, 2006

Last updated

Mar 6, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1245257260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 ROSEMOOR LN",
            "address_2": "FAIRFAX",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312126",
            "telephone_number": "703-280-5131",
            "fax_number": "703-876-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 ROSEMOOR LN",
            "address_2": "FAIRFAX",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312126",
            "telephone_number": "703-280-5131",
            "fax_number": "703-876-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAROSTA",
        "first_name": "KIRAN",
        "middle_name": "W",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904001022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008909717",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alma Renee Stany, M.D.
• Shannon M. Stapleton, LCSW, LICSW
• Star Family Medicine
• Heloi Elaine Stark, O.D.
• Colleen C Starling, LPC
• Shinda Starr, NURSE PRACTITIONER
• Mitchell E. Stashower, M.D.
• Stat Medical Care, P.C. (Fair Lakes Urgent Care Center)
• State of the Art Rehab, Inc.
• Nichelle Arnette Staten, LPC

• Mental Health Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.