Karla Stallworth LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KARLA STALLWORTH LLC

Practice address

60 Man Mar Dr Unit 5
Plainville, MA 02762-2270

Phone

(508) 821-6567

Fax

(508) 316-0924

NPI assigned

Jan 19, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Karla D Stallworth, LMHCNPI 1568470847

Title

Owner

Phone

(508) 821-6567

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karla Stallworth, LMHC

  • Mental Health Counselor
  • Plainville, MA
  • NPI 1568470847
  NPD Authorized official

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1376258756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MAN MAR DR UNIT 5",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "027622270",
            "telephone_number": "508-821-6567",
            "fax_number": "508-316-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MAN MAR DR UNIT 5",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "027622270",
            "telephone_number": "508-821-6567",
            "fax_number": "508-316-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARLA STALLWORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "STALLWORTH",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-821-6567",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Plainville, MA
• Providers in Plainville, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.