Individual provider Active NPI

Kristen Hilty, LCSW

  • Clinical Social Worker
  • Columbia, MO
National Provider Identifier
1043921893
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2024042890 Issued in MO
Practice address
2804 Forum Blvd Ste 3a
Columbia, MO 65203-6661
Phone
(573) 446-6290
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2024042890 MO Primary

Addresses

Primary practice location

2804 Forum Blvd Ste 3a
Columbia, MO 65203-6661

Mailing address

3800 Mint Julep Dr
Columbia, MO 65202-4815
Phone (573) 540-3440

Other practice location 1

3800 Mint Julep Dr
Columbia, MO 65202-4815
Phone (573) 540-3440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250114000528 MO Practitioner - Clinical Social Worker 2163950585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sage Counseling ServicesGroup PAC ID 8820452154, 2 clinicians

Practice addresses (Care Compare)

117 S Lexington St
Suite 100
Harrisonville, MO 64701-2444
Phone (913) 242-5243

2804 Forum Blvd
Suite 3a
Columbia, MO 65203-6661
Phone (573) 540-3440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kristen Hilty Counseling Services, LLC Clinical CurrentSince Oct 1, 2025 Accepting new patients
Sage Counseling Services Clinical CurrentSince Nov 15, 2024 Accepting new patients

Locations

2804 Forum Blvd
Ste 3A
Columbia, MO 65203
Phone (573) 446-6290

117 S Lexington St
Ste 100
Harrisonville, MO 64701
Phone (844) 902-2554

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1043921893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 MINT JULEP DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652024815",
            "telephone_number": "573-540-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 FORUM BLVD STE 3A",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036661",
            "telephone_number": "573-446-6290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Mint Julep Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652024815",
            "country_code": "US",
            "telephone_number": "573-540-3440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILTY",
        "first_name": "KRISTEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024042890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.