Individual provider Active NPI

Kayla Staples, LCSW

  • Social Worker
  • Southern Pines, NC
National Provider Identifier
1669048500
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
120 W Pennsylvania Ave Ste 54
Southern Pines, NC 28387-5429
Phone
(910) 446-1650
NPI assigned
Jun 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

120 W Pennsylvania Ave Ste 54
Southern Pines, NC 28387-5429

Mailing address

104 Lee CT
Fort Leonard Wood, MO 65473-8017
Phone (802) 738-3888

Other practice location 1

185 Wooster Rd
Southern Pines, NC 28387-2354
Phone (910) 985-9074

Other practice location 2

704 Historic Route 66 W
Suite 101
Waynesville, MO 65583
Phone (802) 738-3888

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kayla.staples@hopeconnections.com

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

OrganizationSpecialtyStatusNew patients
Hope Connections, LLC CurrentSince Dec 1, 2021 Accepting new patients
Play Therapy of the Pines, PLLC Past Accepting new patients

Locations

704 Route 66 W
Ste 101
Waynesville, MO 65583
Phone (573) 433-4846

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1669048500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LEE CT",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654738017",
            "telephone_number": "802-738-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W PENNSYLVANIA AVE STE 54",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875429",
            "telephone_number": "910-446-1650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Wooster Rd",
            "address_purpose": "LOCATION",
            "city": "Southern Pines",
            "state": "NC",
            "postal_code": "283872354",
            "country_code": "US",
            "telephone_number": "910-985-9074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "704 Historic Route 66 W",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "MO",
            "postal_code": "65583",
            "country_code": "US",
            "telephone_number": "802-738-3888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAPLES",
        "first_name": "KAYLA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kayla.staples@hopeconnections.com",
            "affiliation": "N",
            "address_1": "704 Historic 66 W Ste 101",
            "city": "Waynesville",
            "state": "MO",
            "country_code": "US",
            "postal_code": "655838322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.