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KAREN MICHELLE SOUTULLO
NPI 1609247964
Counselor - Mental Health in Fayetteville, NC

Active since October 13, 2015PECOS EnrolledAccepts Medicare Assignment
3505 VILLAGE DR STE 101, FAYETTEVILLE, NC 28304(615) 463-6669 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1609247964
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAREN MICHELLE SOUTULLO
Location Address3505 VILLAGE DR STE 101Fayetteville, NC 28304-4514
Mailing Address3505 Village Dr Ste 101Fayetteville, NC 28304-4514 · (615) 463-6669 · Fax (910) 221-9006
Phone(615) 463-6669
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 13, 2015
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1609247964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · A11927
3505 VILLAGE DR STE 101, Fayetteville, NC 28304
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7719327220
PECOS Enrollment IDI20240501002331
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.

Other Providers at the Same Location NPPES 3

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

LAURIE MICHEL HEIM LCSW
Social Worker (Clinical)
3505 VILLAGE DR STE 101
FAYETTEVILLE, NC 28304
Cumberland County (888) 291-4357
COSHEONNA SIMMONS LCSW-A
Social Worker (Clinical)
3505 VILLAGE DR STE 101
FAYETTEVILLE, NC 28304
Cumberland County (910) 500-1800
TONETTA EVERETT MSW, LCSW, LCAS
Social Worker (Clinical)
3505 VILLAGE DR STE 101
FAYETTEVILLE, NC 28304
Cumberland County (910) 500-1800

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.

What insurance does Karen Soutullo accept?

Health plans from Blue Cross and Blue Shield of NC 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 with the weekly NPPES data releases published by CMS.