Individual provider Active NPI

Kara Bates, LPC, CRC

  • Counselor
  • New London, MO
National Provider Identifier
1740933100
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2020024465 Issued in MO
Practice address
12451 Stable Dr
New London, MO 63459-2404
Phone
(573) 207-9338
NPI assigned
Jan 26, 2022
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2020024465 MO Primary

Addresses

Primary practice location

12451 Stable Dr
New London, MO 63459-2404

Mailing address

12451 Stable Dr
New London, MO 63459-2404
Phone (573) 207-9338

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306001402 MO Practitioner - Mental Health Counselor 5395194237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Oak Counseling LLCGroup PAC ID 3173613163, 7 clinicians

Practice addresses (Care Compare)

1221 Broadway
Hannibal, MO 63401-4005
Phone (573) 221-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
White Oak Counseling, LLC CurrentSince Jan 13, 2024 Accepting new patients

Locations

1221 Broadway
Hannibal, MO 63401
Phone (573) 221-2111

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1740933100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12451 STABLE DR",
            "city": "NEW LONDON",
            "state": "MO",
            "postal_code": "634592404",
            "telephone_number": "573-207-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12451 STABLE DR",
            "city": "NEW LONDON",
            "state": "MO",
            "postal_code": "634592404",
            "telephone_number": "573-207-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "KARA",
        "credential": "LPC, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2020024465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, MO

Sources for this page

Verify at the official NPI Registry.