Individual provider Active NPI

Karla Mitchell, LP

  • Psychologist
  • Marshall, MN
National Provider Identifier
1922733401
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3376 Issued in MN
Practice address
1212 E College Dr
Marshall, MN 56258-2010
Phone
(507) 532-3236
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3376 MN Primary

Addresses

Primary practice location

1212 E College Dr
Marshall, MN 56258-2010

Mailing address

1212 E College Dr
Marshall, MN 56258-2010
Phone (507) 532-3236

Other names 1

  • Karla Brinkley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20221005003119 MN Practitioner - Clinical Psychologist 8123404746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western Mental Health Center, Inc.Group PAC ID 7315856119, 22 clinicians

Practice addresses (Care Compare)

1212 E College Dr
Marshall, MN 56258-2010
Phone (507) 532-3236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3376MNMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mental Health Center, Inc. CurrentSince Sep 6, 2022 Accepting new patients

Locations

1212 E College Dr
Marshall, MN 56258
Phone (507) 532-3236

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/wmhcinc/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1922733401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 E COLLEGE DR",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582010",
            "telephone_number": "507-532-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E COLLEGE DR",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582010",
            "telephone_number": "507-532-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KARLA",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "3376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLA",
            "last_name": "BRINKLEY",
            "credential": "LP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marshall, MN

Sources for this page

Verify at the official NPI Registry.