Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATELYN SUSANNA KOLB LCSW
NPI 1063905305
Social Worker - Clinical in Jefferson City, MO

Q: What is Katelyn Kolb's NPI number?

The NPI number for Katelyn Kolb is 1063905305. It was assigned to this individual provider in the NPPES registry on June 12, 2018. The provider is also known as Katelyn Mccoy.

Q: What is Katelyn Kolb's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Katelyn Kolb was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 12, 2018PECOS Enrolled

1432 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109(573) 632-5560(573) 632-5875 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Apr 25, 2024, Apr 6, 2021 and 2 more (5 updates tracked since 2018).

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About Katelyn Susanna Kolb Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN SUSANNA KOLB LCSW (NPI 1063905305) is an individual clinical provider in Jefferson City, Missouri, licensed in Missouri (2021011527) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063905305

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKATELYN SUSANNA KOLBCredential: LCSW

Location Address1432 SOUTHWEST BLVDJefferson City, MO 65109-2444

Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943

Phone(573) 632-5560

Fax(573) 632-5875

Sole ProprietorNo

Enumeration DateJune 12, 2018

Last NPPES UpdateAugust 13, 20265 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1063905305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MO · 2021011527

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License 2018015466 (MO)

1432 SOUTHWEST BLVD, Jefferson City, MO 65109

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Other Names 1

Former Name (1)Katelyn Mccoy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Susanna Kolb Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.28 – $161.24

Typical copayment $0.00 (range $13.07 – $40.31)

Most-billed visit code NA

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VINEELA KASIREDDY MD

Internal Medicine (Hematology & Oncology)