Karla Jayne Ragsdale, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1161 Fortune Blvd Ste 200
Shiloh, IL 62269-7385

Phone

(618) 314-0547

NPI assigned

Aug 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Karla Jayne Stine Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1558849323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 FORTUNE BLVD STE 200",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697385",
            "telephone_number": "618-314-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 FORTUNE BLVD STE 200",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697385",
            "telephone_number": "618-314-0547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17007 Bluejay Rd",
            "address_purpose": "LOCATION",
            "city": "Okawville",
            "state": "IL",
            "postal_code": "622711211",
            "country_code": "US",
            "telephone_number": "618-314-0547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAGSDALE",
        "first_name": "KARLA",
        "middle_name": "JAYNE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180012510",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558849323",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLA",
            "last_name": "STINE",
            "middle_name": "JAYNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jaclyn N Pickowitz, LCPC
• William James Popovic, MD
• Prorehab PC
• Protestant Memorial Medical Center, Inc.
• Michael Norman Pulsipher, DO
• Amy Louise Redmer, MD
• Kathryn C Renner, MD
• Lisa Rene Reno, NURSE PRACTITIONER
• Robert Brandon Rice, B.S., D.C.
• Blake Conley Rodgers, M.D.

• Counselor in Shiloh, IL
• Providers in Shiloh, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.