Healthcare Provider Details

I. General information

NPI: 1477469245
Provider Name (Legal Business Name): KATELYN CARPENTER MS, PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 WESTPORT RD
KANSAS CITY MO
64111-3145
US

IV. Provider business mailing address

8719 E ROBERTS ST
INDEPENDENCE MO
64053-1117
US

V. Phone/Fax

Practice location:
  • Phone: 816-366-5515
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2026036516
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: