Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Karen Michelle Soutullo

Individual provider Mental Health Counselor · NPI 1609247964

Karen Michelle Soutullo is a Mental Health Counselor in Fayetteville, North Carolina. Qualified in 2015, 11 years ago. Practices with Centerstone of Tennessee, Inc, a 115-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2015
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Practice location Address checks out

3505 Village Dr Ste 101
Fayetteville, NC 28304-4514
Phone: (615) 463-6669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A11927 (NC)

Record details

NPI number1609247964
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 13, 2015
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Centerstone Of Tennessee, Inc. — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fayetteville