Individual provider Active NPI

Darla L Stalnaker, M. ED, LPC

  • Counselor
  • Muskogee, OK
National Provider Identifier
1932464534
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3120 Issued in OK
Practice address
1305 S Country Club Rd
Muskogee, OK 74403-7802
Phone
(919) 686-5588
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3120 OK Primary

Addresses

Primary practice location

1305 S Country Club Rd
Muskogee, OK 74403-7802

Mailing address

103 Cary PL
Muskogee, OK 74403-8510
Phone (918) 616-2701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20240612002044 KS Practitioner - Mental Health Counselor 7214234061 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
3120OKMDPhysical Therapy Assistant
2441KSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bert Nash Community Mental Health Center Inc CurrentSince Apr 24, 2024 Accepting new patients

Locations

200 Maine St
Ste A
Lawrence, KS 66044
Phone (785) 832-8192

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1932464534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CARY PL",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744038510",
            "telephone_number": "918-616-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S COUNTRY CLUB RD",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744037802",
            "telephone_number": "919-686-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALNAKER",
        "first_name": "DARLA",
        "middle_name": "L",
        "credential": "M. ED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "3120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.