Individual provider Active NPI

Kara Lynne Ressel, LPC

  • Mental Health Counselor
  • Union, MO
National Provider Identifier
1508371485
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2017041224 Issued in MO
Practice address
102 E Springfield Ave Ste 202
Union, MO 63084-1818
Phone
(636) 583-1800
NPI assigned
Dec 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2017041224 MO Primary

Addresses

Primary practice location

102 E Springfield Ave Ste 202
Union, MO 63084-1818

Mailing address

573 Crestfall Dr
Washington, MO 63090-7106
Phone (636) 667-3312

Other names 1

  • Kara Lynne Roehrig Former name

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

LicenseStateTypeSpecialty
2017041224MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Family Services Inc. Mental Health PastSince Aug 1, 2000 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1508371485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 CRESTFALL DR",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630907106",
            "telephone_number": "636-667-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E SPRINGFIELD AVE STE 202",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630841818",
            "telephone_number": "636-583-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESSEL",
        "first_name": "KARA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2017041224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "ROEHRIG",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Union, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.