Carissa Stallsworth
Individual provider Active NPI Mental Health Counselor · Brodhead, KY
NPI 1508595083 · NPPES record last updated Jul 22, 2026
Key facts
- NPI
- 1508595083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 294481 (KY)
- Practice address
- 1246 Brindle Ridge Rd
Brodhead, KY 40409-8412 - Phone
- (859) 230-6734
- NPI assigned
- Jun 9, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294481 | KY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 294481 | KY | Yes |
Addresses
Primary practice location
1246 Brindle Ridge Rd
Brodhead, KY 40409-8412
Mailing address
1246 Brindle Ridge Rd
Brodhead, KY 40409-8412
Other providers in Brodhead, KY
- LP Brodhead LLC
- Joann McCowan
- Barbara Ann Prather
- Rockcastle County Hospital, Inc.
- Rockcastle Health and Rehabilitation Center, Inc.
- Unchanging True North Therapy LLC
- Unchanging True North Therapy LLC
- Unchanging True North Therapy LLC
- Angela Weddle
All providers in Brodhead, KY · Mental Health Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.