Kathleen Elizabeth McCoy, MA, CRC, LPC
Individual provider Active NPI Counselor · Old Monroe, MO
NPI 1134870934 · NPPES record last updated Jan 12, 2022
Key facts
- NPI
- 1134870934
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 2021050866 (MO)
- Practice address
- 79 Harke LN
Old Monroe, MO 63369 - Phone
- (636) 443-5137
- NPI assigned
- Jan 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021050866 | MO | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2021050866 | MO | Yes |
Addresses
Primary practice location
79 Harke LN
Old Monroe, MO 63369
Mailing address
79 Harke LN
Old Monroe, MO 63369
Phone (636) 443-5137
Other providers in Old Monroe, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.