Active NPI
Starke R Farrell, LCSW
- Mental Health Counselor
- Jackson, MS
National Provider Identifier
1396757860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C6287
- Practice address
- 248 E Capitol St
840 Trust Mark BLDG
Jackson, MS 39201-2503 - Phone
- (800) 632-6074
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C6287 | MS | Primary |
Addresses
Primary practice location
248 E Capitol St
840 Trust Mark BLDG
Jackson, MS 39201-2503
Mailing address
118 N Commerce St
PO Box 726
Ripley, MS 38663-2009
Phone (662) 993-9024
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 |
|---|---|---|---|
| C6287 | MS | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Counseling | Past | Accepting new patients | |
| Paradigm Health Services, Inc | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
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- NPI 1891919668
-
- Mental Health Counselor
- Clearwater, FL
- NPI 1578519146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396757860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 N COMMERCE ST",
"address_2": "PO BOX 726",
"city": "RIPLEY",
"state": "MS",
"postal_code": "386632009",
"telephone_number": "662-993-9024",
"fax_number": "662-993-9025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 E CAPITOL ST",
"address_2": "840 TRUST MARK BLDG",
"city": "JACKSON",
"state": "MS",
"postal_code": "392012503",
"telephone_number": "800-632-6074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "STARKE",
"middle_name": "R",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "C6287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.