Kathleen Marie Kallman, LPC, BCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2005009300 Issued in MO

Practice address

13160 County Rd 3610
St. James, MO 65559

Phone

(573) 265-3251

Fax

(573) 265-0156

NPI assigned

Nov 17, 2006

Last updated

Sep 9, 2010By the provider in NPPES

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

Other identifiers 1

Other names 1

• Ms. Kathleen M. Kallman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1386717007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 SYCAMORE DR",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014733",
            "telephone_number": "573-433-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 COUNTY RD 3610",
            "city": "ST. JAMES",
            "state": "MO",
            "postal_code": "65559",
            "telephone_number": "573-265-3251",
            "fax_number": "573-265-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLMAN",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "LPC, BCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2005009300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497293605",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "KALLMAN",
            "middle_name": "M.",
            "prefix": "MS.",
            "credential": "LPC, BCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rachael Huck, MA
• Inez Marie Jensen, PTA
• Sandra Johnson
• Stanley Charles Johnston, R.PH.
• Heather Celeste Jones, PLPC
• Kansas City Vamc
• Kristin Keppler
• Susan Elaine Kern
• Melissa Dawn Kopp, OTR/L
• Cathy Kossuth, RPT

• Professional Counselor in Saint James, MO
• Providers in Saint James, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.