Active NPI
Lara Lee Ashbaugh, LPC
- Professional Counselor
- Kansas City, MO
National Provider Identifier
1629396239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2007035135
- Practice address
- 300 W 19TH Ter
Kansas City, MO 64108-2026 - Phone
- (816) 404-5709
- Fax
- (816) 404-6024
- NPI assigned
- May 6, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2007035135 | MO | Primary |
Addresses
Primary practice location
300 W 19TH Ter
Kansas City, MO 64108-2026
Mailing address
7900 Lees Summit Rd
Kansas City, MO 64139-1246
Phone (816) 404-5322
Other practice location 1
1300 E Bradford Pkwy
Springfield, MO 65804-4264
Phone (417) 269-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 494170004 | Medicaid | MO |
Other names 1
- Lara Lee Packett
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007035135 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truman Medical Center Incorporated | Current | Accepting new patients | |
| Truman Medical Center, Incorporated | Current | Accepting new patients | |
| Truman Medical Center, Incorporated | Current | Accepting new patients |
Locations
300 W 19th Ter
Kansas City, MO 64108
Phone (816) 404-5709
7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1144207937
-
- Community/Behavioral Health Agency
- Kansas City, MO
- NPI 1497890495
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kansas City, MO
- NPI 1225773401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1629396239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 LEES SUMMIT RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641391246",
"telephone_number": "816-404-5322",
"fax_number": "816-404-7225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W 19TH TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082026",
"telephone_number": "816-404-5709",
"fax_number": "816-404-6024"
}
],
"practiceLocations": [
{
"address_1": "1300 E Bradford Pkwy",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658044264",
"country_code": "US",
"telephone_number": "417-269-5400",
"fax_number": "417-269-7212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASHBAUGH",
"first_name": "LARA",
"middle_name": "LEE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-06",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2007035135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "494170004",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LARA",
"last_name": "PACKETT",
"middle_name": "LEE",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.