Kaleidosoul LLC
NPI 1407594658ActiveOrganization· Counselor, Professional· Fayetteville, GA
Counselor, Professional in Fayetteville, Georgia, registered in NPPES in May 2022. The authorized official on file is Stacey Nicole Paxton, LPC, CAMS,CMAC, Owner.
Overview
| NPI | 1407594658 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 26, 2022 |
| Last updated in NPPES | Sep 21, 2022 |
| Certified by provider | Sep 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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