Kim Wright, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2019008741 Issued in MO

Practice address

3524 Osage Beach Pkwy Ste 6
Osage Beach, MO 65065-5622

Phone

(660) 826-7909

Fax

(660) 826-6737

NPI assigned

Jul 26, 2019

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Dr. Gary C. Kitto and Associates, LLCGroup PAC ID 6901345156, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Law

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 and National Provider Directory roles.

• Dr Gary C Kitto and Associates LLC

  • Professional Counselor
  • Sedalia, MO
  • NPI 1063767788
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1285288480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 OSAGE BEACH PKWY STE 6",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650655622",
            "telephone_number": "660-826-7909",
            "fax_number": "660-826-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 OSAGE BEACH PKWY STE 6",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650655622",
            "telephone_number": "660-826-7909",
            "fax_number": "660-826-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KIM",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2019008741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cori Ann Wilson, P.T.A.
• Douglas Glen Wilson, D.O.
• Women'S Functional Health and Hormone Ce
• Courtney Wood
• Elizabeth Kaye Woodward, AGNP-C
• Tiffini Wright
• Jennifer Renee Zabel, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.