Clarissa Rayann Stolte, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

79452 Issued in TX

Practice address

11372 W Hwy 90 Lot 22
Del Rio, TX 78840-3430

Phone

(432) 386-7057

NPI assigned

Apr 21, 2022

Last updated

Apr 21, 2022By 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

Other names 1

• Clarissa Rayann Brotherton 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": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1609510197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11372 W HWY 90 LOT 22",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403430",
            "telephone_number": "432-386-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11372 W HWY 90 LOT 22",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403430",
            "telephone_number": "432-386-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLTE",
        "first_name": "CLARISSA",
        "middle_name": "RAYANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARISSA",
            "last_name": "BROTHERTON",
            "middle_name": "RAYANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Southwest Medical Ventures PLLC (Ascend Occupational Medicine)
• Star Ambulance.Inc
• Stat Emergency Center of del Rio LLC (Stat Specialty Hospital of Del Rio)
• Steadfast Healthcare
• Summer Marie Stokes, LVN
• Paige Settles Strode, OTR
• Mackenzie D Sullivan, CRNA
• Randall Lee Sunderland
• Sarah Cecilia Sunderland
• Superior Hospice of del Rio LLC

• Professional Counselor in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.