Kaitlin Mackenzie Raftery, MAAT, PLPC, ATR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2022050165 Issued in MO

Practice address

150 Saint Peters Centre Blvd Ste B
Saint Peters, MO 63376-1653

Phone

(636) 345-4744

Fax

(636) 244-1171

NPI assigned

May 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Rcsquared Enterprises, LLC

  dba Ellie Mental Health of St. Peters

  • Professional Counselor
  • Saint Peters, MO
  • NPI 1912629320
  NPD

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1093562779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SAINT PETERS CENTRE BLVD STE B",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SAINT PETERS CENTRE BLVD STE B",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761653",
            "telephone_number": "636-345-4744",
            "fax_number": "636-244-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFTERY",
        "first_name": "KAITLIN",
        "middle_name": "MACKENZIE",
        "credential": "MAAT, PLPC, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2022050165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Rackers, PLPC
• Steven Michael Radel, M.D.
• Amin Radparvar, M.D.
• Abigail Raft
• Haley Clare Raftery
• Furqan F Raja, MD
• Emily Rall, OTR/L
• Ramak Inc. (Kare Chiropractic)
• Ranjani P Ramanathan, MD
• Melissa Ramel, PHD, MPH, RD, LD

• Professional Counselor in Saint Peters, MO
• Providers in Saint Peters, 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 2, 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.