Kaetlyn McKee Roberts, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2019009397 Issued in MO

Practice address

5896 Osage Beach Pkwy Ste 3
Osage Beach, MO 65065-3040

Phone

(573) 723-1219

Fax

(573) 562-6121

NPI assigned

Mar 22, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kaetlyn Roberts Counseling Services, LLC

  dba Kaetlyn McKee Roberts

  • Professional Counselor
  • Osage Beach, MO
  • NPI 1033964929
  NPD Authorized official
• Journey Within LLC

  dba Journey Within Counseling

  • Professional Counselor
  • Osage Beach, MO
  • NPI 1164126546
  NPD (past)
• Kids' Harbor, Inc.

  dba Kids' Harbor Too

  • Voluntary or Charitable Agency
  • Osage Beach, MO
  • NPI 1427038876
  NPD (past)
• Kids' Harbor, Inc.

  dba Kids' Harbor Too

  • Voluntary or Charitable Agency
  • St. Robert, MO
  • NPI 1841261799
  NPD (past)

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1639639966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 COMANCHE RD",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650499319",
            "telephone_number": "573-723-1219",
            "fax_number": "573-562-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5896 OSAGE BEACH PKWY STE 3",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653040",
            "telephone_number": "573-723-1219",
            "fax_number": "573-562-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE ROBERTS",
        "first_name": "KAETLYN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2019009397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Laraine Marlay, RD, LD
• Kalie Rose Massman, PTA
• Michael L McClaughry, P T
• William T McFail, PLPC
• Robyn Vee McHugh, CNM, CPM
• Glenn W McLendon, CRNA
• Kayla McNabb
• Eric W McQueary, D.O.
• Alan William Mead, MD
• Med Supply Inc

• Professional Counselor in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.