Active NPI
Christina Marie Dunn Carpenter
- Professional Counselor
- Smithville, MO
National Provider Identifier
1639705080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3326
- Practice address
- 112 N Bridge St Ste 4
Smithville, MO 64089-8176 - Phone
- (816) 550-7287
- NPI assigned
- Mar 18, 2020
- Last updated
- Mar 18, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3326 | KS | Primary |
Addresses
Primary practice location
112 N Bridge St Ste 4
Smithville, MO 64089-8176
Mailing address
507 Rock Bridge CT
Smithville, MO 64089-8006
Phone (515) 864-6521
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 |
|---|---|---|---|
| 3326 | KS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1639705080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 ROCK BRIDGE CT",
"city": "SMITHVILLE",
"state": "MO",
"postal_code": "640898006",
"telephone_number": "515-864-6521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N BRIDGE ST STE 4",
"city": "SMITHVILLE",
"state": "MO",
"postal_code": "640898176",
"telephone_number": "816-550-7287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN CARPENTER",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-18",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "3326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.