Individual provider Active NPI

Stavroula Kulpa, M.ED.,C.A.G.S, L.M.H

  • Mental Health Counselor
  • Assonet, MA
National Provider Identifier
1912029075
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8043 Issued in MA
Practice address
9 Jethol Dr
Assonet, MA 02702-1948
Phone
(508) 306-0560
NPI assigned
Apr 6, 2007
Last updated
Sep 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 8043 MA Primary
School Psychologist 103TS0200X 398037 MA

Addresses

Primary practice location

9 Jethol Dr
Assonet, MA 02702-1948

Mailing address

9 Jethol Dr
Assonet, MA 02702-1948
Phone (617) 306-0560

Other identifiers 1

IdentifierTypeStateIssuer
398037OtherMAEDUCATOR'S LICENSE

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 Education

State licenses

LicenseStateTypeSpecialty
398037MAMDSchool Psychologist
8043MAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
H and L CurrentSince Feb 18, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1912029075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 JETHOL DR",
            "city": "ASSONET",
            "state": "MA",
            "postal_code": "027021948",
            "telephone_number": "617-306-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 JETHOL DR",
            "city": "ASSONET",
            "state": "MA",
            "postal_code": "027021948",
            "telephone_number": "508-306-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULPA",
        "first_name": "STAVROULA",
        "credential": "M.ED.,C.A.G.S, L.M.H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8043",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MA",
            "license": "398037",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATOR'S LICENSE",
            "identifier": "398037",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Assonet, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.