Active NPI
Tracy L Carpenter, MA, LPC
- Professional Counselor
- Lees Summit, MO
National Provider Identifier
1295974145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2007034798
- Practice address
- 317 SE Brentwood Dr
Lees Summit, MO 64063-3257 - Phone
- (816) 797-7555
- NPI assigned
- Feb 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2007034798 | MO | Primary |
Addresses
Primary practice location
317 SE Brentwood Dr
Lees Summit, MO 64063-3257
Mailing address
317 SE Brentwood Dr
Lees Summit, MO 64063-3257
Phone (816) 797-7555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2007034798 | Other | MO | MO LPC LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007034798 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234828800000",
"number": "1295974145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 SE BRENTWOOD DR",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640633257",
"telephone_number": "816-797-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 SE BRENTWOOD DR",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640633257",
"telephone_number": "816-797-7555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "TRACY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-17",
"last_updated": "2009-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2007034798",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO LPC LICENSE #",
"identifier": "2007034798",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.