Kaetlyn Roberts Counseling Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

KAETLYN ROBERTS COUNSELING SERVICES

Practice address

5896 Osage Beach Pkwy Ste 3
Osage Beach, MO 65065-3040

Phone

(573) 723-1219

Fax

(573) 562-6121

NPI assigned

Apr 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kaetlyn McKee RobertsNPI 1639639966

Title

Owner/Ceo

Phone

(573) 723-1219

Specialties & licenses 1

Addresses

Other names 2

• Kaetlyn McKee Roberts Doing business as
• Kaetlyn Roberts Counseling Services Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaetlyn McKee Roberts, LPC

  • Professional Counselor
  • Osage Beach, MO
  • NPI 1639639966
  NPD Authorized official
• Deborah B Doll, LPC, CCTP, NCC

  • Professional Counselor
  • Osage Beach, MO
  • NPI 1629726047
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1033964929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 COMANCHE RD",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650499319",
            "telephone_number": "573-723-1219",
            "fax_number": "573-562-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5896 OSAGE BEACH PKWY STE 3",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653040",
            "telephone_number": "573-723-1219",
            "fax_number": "573-562-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAETLYN ROBERTS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "MCKEE ROBERTS",
        "authorized_official_first_name": "KAETLYN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "573-723-1219"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaetlyn McKee Roberts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kaetlyn Roberts Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krista Gail Jones, PA-C
• Mark R Jones, DO
• Michael P Jones, MD
• Sara Jones, PT, DPT
• Journey Within LLC
• Catharine Kahrig, FNP-BC
• Steven Paul Kanis, R.PH.
• Karen Eshraghi, MD Lake of the Ozarks, LLC
• Karen Eshraghi, MD Lake of the Ozarks, LLC
• Eric Kauffman

• Professional Counselor in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.