Active NPI
Starla Willis, MA, LMHC, CMHS
- Mental Health Counselor
- Kelso, WA
National Provider Identifier
1699293902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 351 Three Rivers Dr
Kelso, WA 98626-3129 - Phone
- (360) 718-6548
- NPI assigned
- Sep 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
351 Three Rivers Dr
Kelso, WA 98626-3129
Mailing address
1105 D 15TH Ave
229
Longview, WA 98632
Phone (360) 846-5005
Other practice location 1
280 W 5th St
Onalaska, WA 98570-9686
Phone (360) 978-4111 ext. 1300
Other practice location 2
921 14th Ave
Longview, WA 98632
Phone (360) 423-0203
Other names 1
- Starla Butler
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1699293902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 D 15TH AVE",
"address_2": "229",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "98632",
"telephone_number": "360-846-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 THREE RIVERS DR",
"city": "KELSO",
"state": "WA",
"postal_code": "986263129",
"telephone_number": "360-718-6548"
}
],
"practiceLocations": [
{
"address_1": "280 W 5th St",
"address_purpose": "LOCATION",
"city": "Onalaska",
"state": "WA",
"postal_code": "985709686",
"country_code": "US",
"telephone_number": "360-978-4111 x1300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "921 14th Ave",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "WA",
"postal_code": "98632",
"country_code": "US",
"telephone_number": "360-423-0203",
"fax_number": "360-423-2311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIS",
"first_name": "STARLA",
"credential": "MA, LMHC, CMHS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-07",
"last_updated": "2023-07-21",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STARLA",
"last_name": "BUTLER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kelso, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.