MEDICARE: AMY NOEL TIPPETT LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	2014013098	MO

General Provider Information

NPI Number	:	1538023817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY NOEL TIPPETT LPC

Provider Business Mailing Address
First Line	:	1 BURNING BUSH CT
Second Line	:
City	:	TROY
State	:	MO
Zip	:	63379-3368
Country	:	US
Telephone Number	:	636-236-2086
Fax Number	:

Provider Business Practice Location Address
First Line	:	7280 NW 87TH TER STE C-210
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64153-3720
Country	:	US
Telephone Number	:	646-941-7645
Fax Number	:	929-596-7897

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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