Active NPI
Beth Chippendale-Katona, LCPC, LCAC
- Professional Counselor
- Overland Park, KS
National Provider Identifier
1386810513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 02989
- Practice address
- 10426 Conser St Apt 1H2
Overland Park, KS 66212-2635 - Phone
- (913) 897-3474
- NPI assigned
- May 7, 2008
- Last updated
- Jun 28, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 096 | KS | |
| Professional Counselor | 101YP2500X | 1981 | KS | |
| Professional Counselor | 101YP2500X | 02989 | KS | Primary |
Addresses
Primary practice location
10426 Conser St Apt 1H2
Overland Park, KS 66212-2635
Mailing address
10426 Conser St Apt 1H2
Overland Park, KS 66212-2635
Phone (913) 897-3474
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096 | KS | MD | Addiction (Substance Use Disorder) Counselor |
| 02989 | KS | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1386810513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10426 CONSER ST APT 1H2",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662122635",
"telephone_number": "913-897-3474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10426 CONSER ST APT 1H2",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662122635",
"telephone_number": "913-897-3474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIPPENDALE-KATONA",
"first_name": "BETH",
"name_prefix": "Ms.",
"credential": "LCPC, LCAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-07",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "096",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "1981",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "02989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
- Stacia G Childs, MS, CCC-SLP
- Ilana Chilton, MS CGC
- Kristine Ching
- Paul Allen Chinn, PH.D.
- Connie Yvonne Chipp-Nathaniel, D.C.
- Chiro One Wellness Center of Overland Park Central LLC
- Chiro One Wellness Center of Overland Park North LLC
- Chiropractic Group of Overland Park LLC
- Chiropractic House LLC
- Chiropractic Treatment Center, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.