Kara Bates, LPC, CRC
Individual provider Active NPI Counselor · New London, MO
NPI 1740933100 · NPPES record last updated Jan 26, 2022
Key facts
- NPI
- 1740933100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 2020024465 (MO)
- Practice address
- 12451 Stable Dr
New London, MO 63459-2404 - Phone
- (573) 207-9338
- NPI assigned
- Jan 26, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- White Oak Counseling LLC
Practice addresses (Care Compare)
1221 Broadway
Hannibal, MO 63401-4005
Phone (573) 221-2111
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240306001402 | MO | Practitioner - Mental Health Counselor | 5395194237 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020024465 | MO | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Oak Counseling, LLC | Current |
Accepting new patients |
Locations
1221 Broadway
Hannibal, MO 63401
Phone (573) 221-2111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2020024465 | MO | Yes |
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
Other providers in New London, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.