Individual provider Active NPI

Courtney Marie Kempker, MED, LPC

  • Professional Counselor
  • Lake Ozark, MO
National Provider Identifier
1558023382
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2018036463 Issued in MO
Practice address
174 Newton Ter
Lake Ozark, MO 65049-6040
Phone
(573) 836-1805
NPI assigned
Oct 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2018036463 MO Primary

Addresses

Primary practice location

174 Newton Ter
Lake Ozark, MO 65049-6040

Mailing address

174 Newton Ter
Lake Ozark, MO 65049-6040
Phone (573) 836-1805

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ckemp@cheresealcorn.com Direct Cherese M. Alcorn, M.S.W., L.C.S.W., LLC

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 Education

State licenses

LicenseStateTypeSpecialty
2018036463MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1558023382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 NEWTON TER",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650496040",
            "telephone_number": "573-836-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 NEWTON TER",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650496040",
            "telephone_number": "573-836-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPKER",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "credential": "MED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2018036463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckemp@cheresealcorn.com",
            "affiliation": "Y",
            "endpointDescription": "Main Email for Business use",
            "affiliationName": "Cherese M. Alcorn, M.S.W., L.C.S.W., LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "174 Newton Ter",
            "city": "Lake Ozark",
            "state": "MO",
            "country_code": "US",
            "postal_code": "650496040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Ozark, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.

Verify at the official NPI Registry.