Healthcare Provider Details

I. General information

NPI: 1013874064
Provider Name (Legal Business Name): STARR LIGHT COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 STARR RD
KERSEY PA
15846-9800
US

IV. Provider business mailing address

85 STARR ROAD
KERSEY PA
15846-1127
US

V. Phone/Fax

Practice location:
  • Phone: 814-335-0302
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KACIE CARR
Title or Position: LPC
Credential: LPC
Phone: 814-335-0302