Individual provider Active NPI

Karin Avis Stoll, LCSW, DCSW

  • Mental Health Counselor
  • Lihue, HI
National Provider Identifier
1407843147
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW-3007 Issued in HI
Practice address
3146 Akahi St
Lihue, HI 96766-1105
Phone
(808) 632-2010
Fax
(808) 632-2101
NPI assigned
Sep 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCSW-3007 HI Primary

Addresses

Primary practice location

3146 Akahi St
Lihue, HI 96766-1105

Mailing address

3412 Hinahina St
Lihue, HI 96766-1030
Phone (808) 632-2010

Other identifiers 1

IdentifierTypeStateIssuer
24648701MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040923000638 HI Practitioner - Clinical Social Worker 6103894431 Practice locations: Lihue, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3146 Akahi St
Lihue, HI 96766-1105
Phone (808) 632-2010

3412 Hinahina St
Lihue, HI 96766-1030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-3007HIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Karin Stoll, MSW, DCSW PastSince Feb 4, 2014 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1407843147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 HINAHINA ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661030",
            "telephone_number": "808-632-2010",
            "fax_number": "808-632-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3146 AKAHI ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661105",
            "telephone_number": "808-632-2010",
            "fax_number": "808-632-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL",
        "first_name": "KARIN",
        "middle_name": "AVIS",
        "name_prefix": "Ms.",
        "credential": "LCSW, DCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "LCSW-3007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24648701",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.