Individual provider Active NPI

Carla Knoll Butler, LCSW

  • Mental Health Counselor
  • Virginia Beach, VA
National Provider Identifier
1982172789
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0904010620 Issued in VA
Practice address
317 Office Square LN Ste B101
Virginia Beach, VA 23462-3652
Phone
(757) 403-0119
NPI assigned
Nov 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0904010620 VA Primary

Addresses

Primary practice location

317 Office Square LN Ste B101
Virginia Beach, VA 23462-3652

Mailing address

317 Office Square LN Ste B101
Virginia Beach, VA 23462-3652
Phone (757) 403-0119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20190315000014 VA Practitioner - Clinical Social Worker 0648510313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

317 Office Square LN
Suite B101
Virginia Beach, VA 23462-3652
Phone (757) 403-0119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904010620VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carla Butler, LCSW, PLLC Mental Health CurrentSince Nov 1, 2018 Accepting new patients

Locations

317 Office Square Ln
Ste B101
Virginia Beach, VA 23462
Phone (757) 403-0119

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": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1982172789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 OFFICE SQUARE LN STE B101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623652",
            "telephone_number": "757-403-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 OFFICE SQUARE LN STE B101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623652",
            "telephone_number": "757-403-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "CARLA",
        "middle_name": "KNOLL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904010620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.