Carla Butler, LCSW, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CARLA BUTLER, LCSW, PLLC

Practice address

317 Office Square LN Ste B101
Virginia Beach, VA 23462-3652

Phone

(757) 403-0119

NPI assigned

Nov 13, 2018

Organization subpart

No

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

Authorized official

Name

Carla Butler, LCSWNPI 1982172789

Title

President

Phone

(757) 403-0119

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla Knoll Butler, LCSW

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1982172789
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1578031191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 OFFICE SQUARE LN STE B101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623652",
            "telephone_number": "757-403-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 OFFICE SQUARE LN STE B101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623652",
            "telephone_number": "757-403-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLA BUTLER, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-403-0119",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.