CARLY STOUT LPC NPI 1205391422

NPI Information

  • NPI: 1205391422
  • Provider Name: CARLY STOUT, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 608 FLAMINGO BLVD
    LAKEWAY, TX
    ZIP 78734
  • Phone: (830) 370-8788

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NPI Details

Carly Stout, LPC is a mental health counselor in Lakeway, TX. Carly Stout, LPC NPI is 1205391422. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

608 FLAMINGO BLVD
LAKEWAY, TX
ZIP 78734-014
Phone: (830) 370-8788

The NPI 1205391422 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/1/2019 and was last updated on 5/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health0015065COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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