KAREN MICHELLE SOUTULLO
NPI 1609247964
Counselor - Mental Health in Fayetteville, NC
About Karen Michelle Soutullo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN MICHELLE SOUTULLO (NPI 1609247964) is an individual mental health provider in Fayetteville, North Carolina, licensed in North Carolina (A11927) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Karen Michelle Soutullo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Karen Soutullo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fayetteville, NC 28304
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Centerstone Of Tennessee, Inc.
- 19 clinicians in this Medicare group
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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, NC 28304
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 Karen Soutullo's NPI number?
The NPI number for Karen Soutullo is 1609247964. It was assigned to this individual provider in the NPPES registry on October 13, 2015.
Where is Karen Soutullo located?
Karen Soutullo practices at 3505 Village Dr Ste 101, Fayetteville, NC 28304. The listed phone number is (615) 463-6669.
What is Karen Soutullo's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Karen Soutullo enrolled in Medicare?
Yes. Karen Soutullo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Karen Soutullo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Soutullo reassigns Medicare benefits to Centerstone Of Tennesse Inc. (Fayetteville, NC). 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 Karen Soutullo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Soutullo accept?
Health plans from Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list Karen Soutullo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Karen Soutullo was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Karen Michelle Soutullo · NPI 1609247964
Mental Health provider in Fayetteville, North Carolina. Individual provider, active in the CMS NPPES registry since October 13, 2015.
## Identity
- **NPI:** 1609247964 (Entity type: Individual)
- **Enumerated:** October 13, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** A11927 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3505 VILLAGE DR STE 101, Fayetteville, NC 28304-4514
- **Phone:** (615) 463-6669
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Centerstone Of Tennesse Inc. (NPI 1609482439, Fayetteville, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** January 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609247964) · Data from the CMS NPPES public registry.