Callie Elizabeth Starks, M.S., LPC-I

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

75131 Issued in TX

Practice address

5425 Plaza Dr
Texarkana, TX 75503-1662

Phone

(903) 838-3711

NPI assigned

Dec 8, 2015

Last updated

Dec 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rafael F Otero, PHD, Inc

  • Clinical Psychologist
  • Texarkana, TX
  • NPI 1518902303
  NPD (past)

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1497120018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5265 ARKANSAS HIGHWAY 108",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718544801",
            "telephone_number": "903-277-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 PLAZA DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031662",
            "telephone_number": "903-838-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKS",
        "first_name": "CALLIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.S., LPC-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "75131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Williams Stanley, MS, CCC, SLP
• Timothy D Stanley, MSLPE
• Brittany Stanton
• Angela Staples, LMT
• Sonya Prince Stark, FNP-C
• Stateserv Medical of Texas, LLC
• David Larkin Steele, DDS
• Stephen Lynn Steele, MD
• Leli Omecham Stephen Agboire, RPH
• Stephen R. Brown, M.D., PA

• Mental Health Counselor in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.