Active NPI
Maura Suzanne Kalafut, LPC
- Mental Health Counselor
- Dalton, GA
National Provider Identifier
1457671497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC006637
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 814129823 | Other | COMMERCIAL INSURANCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| APC002157 | GA | MD | Counselor |
| LPC006637 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prelude Mental Health Counseling, LLC | 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.
-
- Community/Behavioral Health Agency
- Dalton, GA
- NPI 1952024085
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.