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

Kylie A Stark

Individual provider Case Manager/Care Coordinator · NPI 1922760776

Kylie A Stark is a Mental Health Counselor in Dickinson, North Dakota. Qualified in 2022, 4 years ago. Practices with Badlands Human Service Center, an 18-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
4
Licensed in
ND
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

1463 I94 Business Loop E
Dickinson, ND 58601-6434
Phone: (701) 227-7506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 1211-7-1-22 (ND)
Case Manager/Care Coordinator Taxonomy 171M00000X
Specialist Taxonomy 174400000X

Record details

NPI number1922760776
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2021
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024
Mailing address1463 I94 Business Loop E, Dickinson, ND 58601-6434

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Badlands Human Service Center — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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