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MENDAY KAY STARK LPC
NPI 1588547871
Counselor - Professional in Roswell, GA

Active since July 26, 2025PECOS Enrolled
11111 HOUZE RD STE 225, ROSWELL, GA 30076(770) 603-0123(770) 910-9919 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Menday Kay Stark Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENDAY KAY STARK LPC (NPI 1588547871) is an individual professional provider in Roswell, Georgia, licensed in Georgia (LPC016513) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1588547871
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMENDAY KAY STARKCredential: LPC
Location Address11111 HOUZE RD STE 225Roswell, GA 30076-5618
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Phone(770) 603-0123
Fax(770) 910-9919
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 26, 2025
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1588547871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC016513
11111 HOUZE RD STE 225, Roswell, GA 30076
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Menday Kay Stark Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648735761
PECOS Enrollment IDI20260720002258
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Menday Stark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Personal Recovery Network LLC
38 mi
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 clinicians in this Medicare group
NPI 1881990869 (770) 389-8100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHRISTIAN LAMAR KING LPC
Counselor (Professional)
11111 HOUZE RD STE 225
ROSWELL, GA 30076
Fulton County (770) 603-0123
VIKKI NATASHA BURKE LPC
Counselor (Professional)
11111 HOUZE RD STE 225
ROSWELL, GA 30076
Fulton County (770) 603-0123
TRACY DAWN TYLER
Nurse Practitioner (Psychiatric/Mental Health)
11111 HOUZE RD STE 225
ROSWELL, GA 30076
Fulton County (770) 603-0123
MISS JAMI M HANNEMAN LCSW
Social Worker (Clinical)
11111 HOUZE RD STE 225
ROSWELL, GA 30076
Fulton County (770) 603-0123
AUDLINE MARIA HOLMES PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
11111 HOUZE RD STE 225
ROSWELL, GA 30076
Fulton County (770) 603-0123
CHAO LI APRN-NP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
11111 HOUZE RD STE 225
ROSWELL, GA 30076
Fulton County (770) 603-0123
CHRISTINE ELAINE LISS LCSW
Social Worker (Clinical)
11111 HOUZE RD STE 225
ROSWELL, GA 30076
Fulton County (770) 603-0123
JANIE M CALHOUN LCSW
Social Worker (Clinical)
11111 HOUZE RD STE 225
ROSWELL, GA 30076
Fulton County (770) 603-0123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Menday Stark's NPI number?

The NPI number for Menday Stark is 1588547871. It was assigned to this individual provider in the NPPES registry on July 26, 2025.

Where is Menday Stark located?

Menday Stark practices at 11111 Houze Rd Ste 225, Roswell, GA 30076. The listed phone number is (770) 603-0123.

What is Menday Stark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Menday Stark enrolled in Medicare?

Yes. Menday Stark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Menday Stark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Menday Stark reassigns Medicare benefits to Personal Recovery Network LLC (Stockbridge, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Menday Stark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Menday Stark was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.