Lakota Stark

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1051 Morrell Ave
Connellsville, PA 15425-3958

Phone

(724) 437-0729

NPI assigned

May 19, 2022

Last updated

May 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mailbox@crcsi.credible2.direct-ci.com

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.

• Chestnut Ridge Counseling Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Uniontown, PA
  • NPI 1063489482
  NPD

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1952048050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NEW SALEM RD STE 116",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018936",
            "telephone_number": "724-437-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 MORRELL AVE",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253958",
            "telephone_number": "724-437-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "LAKOTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mailbox@CRCSI.credible2.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CHESTNUT RIDGE COUNSELING SERVICES INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1051 Morrell Ave",
            "city": "Connellsville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "154253958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Snyder, PA-C
• Julia Softa
• Marissa Soisson, O.D.
• Katrina Renee Spangler
• Edward S Spotts Jr., D.M.D.
• State of Mind Neuropsychology LLC
• Virginia Stauffer
• Jennifer Haky Sterbutzel, CRNP
• Carole Gene Stern, M.S., R.N.C.
• Chelsey Leigh Stern, PHARMD

• Mental Health Counselor in Connellsville, PA
• Providers in Connellsville, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.