Active NPI
Kathy Stavropoulos, PLPC
- Professional Counselor
- Rolla, MO
National Provider Identifier
1902272248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2015026253
- Practice address
- 575 Blues Lake Pkwy
Rolla, MO 65401-8587 - Phone
- (573) 364-2007
- Fax
- (573) 202-2402
- NPI assigned
- Aug 20, 2015
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2015026253 | MO | Primary |
Addresses
Primary practice location
575 Blues Lake Pkwy
Rolla, MO 65401-8587
Mailing address
575B Blues Lake Pkwy
Rolla, MO 65401-8587
Phone (573) 364-2007
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015026253 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1902272248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575B BLUES LAKE PKWY",
"city": "ROLLA",
"state": "MO",
"postal_code": "654018587",
"telephone_number": "573-364-2007",
"fax_number": "573-202-2402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 BLUES LAKE PKWY",
"city": "ROLLA",
"state": "MO",
"postal_code": "654018587",
"telephone_number": "573-364-2007",
"fax_number": "573-202-2402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAVROPOULOS",
"first_name": "KATHY",
"credential": "PLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-20",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2015026253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.