Gary C Kitto, PHD, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

001344 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

Oct 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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, 1992

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

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

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 Authorized official

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1316937170",
    "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": [
        {
            "address_1": "304 SW Raintree Dr",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640824754",
            "country_code": "US",
            "telephone_number": "660-826-7909",
            "fax_number": "660-826-6737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITTO",
        "first_name": "GARY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "001344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493658504",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "19749011",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Nicole Kincaid, MSN, APRN, NP-C
• Robert D King, M.D.
• Corinne Anne Kirby, LMT
• Marcandrea Kish, COTA/L
• Jennifer Kiske, MPT
• Sharon Anne Kneib, LPTA
• Lindsey Knopes, LPC, LMHC
• George Anthony Koch, DO
• Mathew Richard Koebel, PHARMD
• Kopiske Orthopedic Services

• 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.