Kathleen Stark, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401015298 Issued in MI

Practice address

6695 Highland Rd Ste 203
Waterford, MI 48327-1968

Phone

(248) 600-9928

NPI assigned

Jun 29, 2016

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

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Empower You Counseling LLC

  • Professional Counselor
  • Waterford, MI
  • NPI 1770368995
  Medicare reassignment NPD Authorized official
• River Trail Counseling Associates, LLC

  • Professional Counselor
  • Rochester Hills, MI
  • NPI 1619528940
  NPD

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1699126839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 GRANDVIEW BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483292916",
            "telephone_number": "248-933-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6695 HIGHLAND RD STE 203",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271968",
            "telephone_number": "248-600-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "KATHLEEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Lee Standifer, MA, LPC, NCC
• Stanford C Rapp DO PC
• Stanford C. Rapp, D.O., P.C.
• Stannard and Studt Dentistry PC
• Sean P Stannard, D.D.S.
• Chelsi N Steen, B.S
• Diane Lois Stellini, MA, LPC, NCC
• James S Stepanski, DO
• Nicholas James Stepanski, DO
• Amber Jo Stephenson-Laforest, TLLP

• Professional Counselor in Waterford, MI
• Providers in Waterford, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.