Active NPI
Carissa Stallsworth
- Mental Health Counselor
- Brodhead, KY
National Provider Identifier
1508595083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 294481
- Practice address
- 1246 Brindle Ridge Rd
Brodhead, KY 40409-8412 - Phone
- (859) 230-6734
- NPI assigned
- Jun 9, 2022
- Last updated
- Jul 22, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 294481 | KY | Primary |
Addresses
Primary practice location
1246 Brindle Ridge Rd
Brodhead, KY 40409-8412
Mailing address
1246 Brindle Ridge Rd
Brodhead, KY 40409-8412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294481 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kid Spot Center | Past | Accepting new patients | |
| The Kid Spot Center | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Mental Health Counselor
- Brodhead, KY
- NPI 1548181365
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- Mental Health Counselor
- Brodhead, KY
- NPI 1881515856
-
- Mental Health Counselor
- Brodhead, KY
- NPI 1962323212
-
- Speech-Language Pathologist
- Campbellsville, KY
- NPI 1104146109
-
- Speech-Language Pathologist
- Elizabethtown, KY
- NPI 1710307152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1508595083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1246 BRINDLE RIDGE RD",
"city": "BRODHEAD",
"state": "KY",
"postal_code": "404098412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1246 BRINDLE RIDGE RD",
"city": "BRODHEAD",
"state": "KY",
"postal_code": "404098412",
"telephone_number": "859-230-6734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALLSWORTH",
"first_name": "CARISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-09",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "294481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brodhead, KY
- LP Brodhead LLC (Rockcastle Health and Rehabilitation Center)
- Joann McCowan
- Barbara Ann Prather, NP
- Rockcastle County Hospital, Inc. (Brodhead Family Care)
- Rockcastle Health and Rehabilitation Center, Inc.
- Unchanging True North Therapy LLC
- Unchanging True North Therapy LLC
- Unchanging True North Therapy LLC
- Angela Weddle, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.