Active NPI
Katherine Dalstra
- Mental Health Counselor
- Macon, MS
National Provider Identifier
1619324464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 43 Dr Martin Luther King Jr Dr
Macon, MS 39341-2734 - Phone
- (662) 726-5042
- Fax
- (662) 726-5009
- NPI assigned
- May 23, 2016
- Last updated
- May 23, 2016
- 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 | NU | Primary |
Addresses
Primary practice location
43 Dr Martin Luther King Jr Dr
Macon, MS 39341-2734
Mailing address
1032 State Hwy 50 W
West Point, MS 39773
Phone (662) 524-4347
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KD Counseling LLC | Mental Health | Current | Accepting new patients |
| Region Seven Mental Health Idd Commission | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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
- Trussville, AL
- NPI 1003687781
-
dba Community Counseling Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Macon, MS
- NPI 1578680005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1619324464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 STATE HWY 50 W",
"city": "WEST POINT",
"state": "MS",
"postal_code": "39773",
"telephone_number": "662-524-4347",
"fax_number": "662-524-4364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 DR MARTIN LUTHER KING JR DR",
"city": "MACON",
"state": "MS",
"postal_code": "393412734",
"telephone_number": "662-726-5042",
"fax_number": "662-726-5009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALSTRA",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-23",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.