Individual provider Active NPI

Kerry Anne Kapetanovich, LPC

  • Mental Health Counselor
  • Kansas City, MO
National Provider Identifier
1700187671
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2002010831 Issued in MO
Practice address
7280 NW 87TH Terrace Novo Counseling KC, LLC
Suite 210
Kansas City, MO 64153-3706
Phone
(816) 841-7735
Fax
(816) 817-0712
NPI assigned
Nov 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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 2002010831 MO Primary

Addresses

Primary practice location

7280 NW 87TH Terrace Novo Counseling KC, LLC
Suite 210
Kansas City, MO 64153-3706

Mailing address

7280 NW 87TH Terrace Novo Counseling KC, LLC
Suite 210
Kansas City, MO 64153-3706
Phone (816) 841-7735

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
2002010831MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Journeys Past Accepting new patients
Northland Psychological Associates LLC Mental Health Past Accepting new patients

Organizations & group practices 2

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": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1700187671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7280 NW 87TH TERRACE NOVO COUNSELING KC, LLC",
            "address_2": "SUITE 210",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641533706",
            "telephone_number": "816-841-7735",
            "fax_number": "816-817-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 NW 87TH TERRACE NOVO COUNSELING KC, LLC",
            "address_2": "SUITE 210",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641533706",
            "telephone_number": "816-841-7735",
            "fax_number": "816-817-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPETANOVICH",
        "first_name": "KERRY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2002010831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 2, 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.