Individual provider Active NPI

Maura Suzanne Kalafut, LPC

  • Mental Health Counselor
  • Dalton, GA
National Provider Identifier
1457671497
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC006637 Issued in GA
Practice address
313 N Selvidge St Ste 107
Dalton, GA 30720-3156
Phone
(706) 671-2520
Fax
(706) 671-2590
NPI assigned
Jun 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC006637 GA Primary
Counselor 101Y00000X APC002157 GA

Addresses

Primary practice location

313 N Selvidge St Ste 107
Dalton, GA 30720-3156

Mailing address

PO Box 361
Varnell, GA 30756-0361
Phone (706) 671-2520

Other identifiers 1

IdentifierTypeStateIssuer
814129823OtherCOMMERCIAL INSURANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maura@preludementalhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APC002157GAMDCounselor
LPC006637GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prelude Mental Health Counseling, LLC CurrentSince Sep 25, 2022 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": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1457671497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "VARNELL",
            "state": "GA",
            "postal_code": "307560361",
            "telephone_number": "706-671-2520",
            "fax_number": "706-671-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N SELVIDGE ST STE 107",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203156",
            "telephone_number": "706-671-2520",
            "fax_number": "706-671-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAFUT",
        "first_name": "MAURA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC006637",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "APC002157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "814129823",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maura@preludementalhealth.com",
            "affiliation": "N",
            "address_1": "313 N Selvidge St Ste 107",
            "city": "Dalton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "307203156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.