Individual provider Active NPI

Starla Willis, MA, LMHC, CMHS

  • Mental Health Counselor
  • Kelso, WA
National Provider Identifier
1699293902
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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.

Verify at the official NPI Registry.