Provider Demographics
NPI:1386810513
Name:CHIPPENDALE-KATONA, BETH (LCPC, LCAC)
Entity type:Individual
Prefix:MS
First Name:BETH
Middle Name:
Last Name:CHIPPENDALE-KATONA
Suffix:
Gender:F
Credentials:LCPC, LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10426 CONSER ST APT 1H2
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-2635
Mailing Address - Country:US
Mailing Address - Phone:913-897-3474
Mailing Address - Fax:
Practice Address - Street 1:10426 CONSER ST APT 1H2
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2635
Practice Address - Country:US
Practice Address - Phone:913-897-3474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS096101YA0400X
KS1981101YP2500X
KS02989101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)