Healthcare Provider Details

I. General information

NPI: 1134558422
Provider Name (Legal Business Name): KATHRYN LYNN VANHOOSER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2013
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S MAIN ST
ROGERSVILLE MO
65742-9357
US

IV. Provider business mailing address

15276 W FARM ROAD 38
ASH GROVE MO
65604-8742
US

V. Phone/Fax

Practice location:
  • Phone: 417-753-9404
  • Fax: 417-753-9137
Mailing address:
  • Phone: 417-773-5474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2013044759
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: