Active NPI
Karen Stocksdale, MA
- Counselor
- Santa Rosa, CA
National Provider Identifier
1932513009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 50508
- Practice address
- 1625 Terrace Way
Suite C
Santa Rosa, CA 95404-3035 - Phone
- (707) 217-1333
- NPI assigned
- Jun 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 50508 | CA | Primary |
Addresses
Primary practice location
1625 Terrace Way
Suite C
Santa Rosa, CA 95404-3035
Mailing address
1153 Humboldt St
Santa Rosa, CA 95404-3324
Phone (707) 217-1333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50508 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1932513009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1153 HUMBOLDT ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954043324",
"telephone_number": "707-217-1333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 TERRACE WAY",
"address_2": "SUITE C",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954043035",
"telephone_number": "707-217-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKSDALE",
"first_name": "KAREN",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-17",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "50508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.