Individual provider Active NPI

Catherine Wyndell Stallings, LMHC CAP

  • Mental Health Counselor
  • North Palm Beach, FL
National Provider Identifier
1437428869
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11027 Issued in FL
Practice address
11911 US Highway 1
Suite 201-4
North Palm Beach, FL 33408-2827
Phone
(561) 463-3078
Fax
(561) 622-6815
NPI assigned
Dec 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2014

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 11027 FL Primary

Addresses

Primary practice location

11911 US Highway 1
Suite 201-4
North Palm Beach, FL 33408-2827

Mailing address

1801 N Flagler Dr
#229
West Palm Beach, FL 33407-6558
Phone (561) 389-5236

Other names 1

  • Wynne Stallings Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 29, 2024 through Mar 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11027FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Soulspring Counseling Inc. Mental Health Current 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": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1437428869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N FLAGLER DR",
            "address_2": "#229",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076558",
            "telephone_number": "561-389-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 US HIGHWAY 1",
            "address_2": "SUITE 201-4",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334082827",
            "telephone_number": "561-463-3078",
            "fax_number": "561-622-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "CATHERINE",
        "middle_name": "WYNDELL",
        "credential": "LMHC CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "11027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WYNNE",
            "last_name": "STALLINGS",
            "credential": "LMHC CAP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.