KAITLEY ROSE TETER LPC
NPI 1265997464
Counselor - Professional in Kirksville, MO

Active since February 01, 2019PECOS EnrolledAccepts Medicare Assignment
105 PFEIFFER AVE, KIRKSVILLE, MO 63501(660) 665-4612 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2023, Feb 1, 2019 (2 updates tracked since 2019).

About Kaitley Rose Teter Lpc NPPES

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

KAITLEY ROSE TETER LPC (NPI 1265997464) is an individual professional provider in Kirksville, Missouri, licensed in Missouri (2023005075) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265997464
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKAITLEY ROSE TETERCredential: LPC
Location Address105 PFEIFFER AVEKirksville, MO 63501-5047
Mailing Address105 Pfeiffer AveKirksville, MO 63501-5047 · (660) 665-4612
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 1, 2019
Last NPPES UpdateAugust 21, 20252 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
✔ NPI 1265997464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2023005075
105 PFEIFFER AVE, Kirksville, MO 63501

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaitley Rose Teter Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638692734
PECOS Enrollment IDI20250331000343
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.

Medicare Billing Reassignment

Medicare enrollment records show Kaitley Teter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
154 FORREST DR
Hannibal, MO 63401
  • Reassigned Medicare billing, Missouri enrollment
  • 47 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Social Worker (Clinical)
105 PFEIFFER AVE
KIRKSVILLE, MO 63501
Clinic/Center (Federally Qualified Health Center (FQHC))
105 PFEIFFER AVE
KIRKSVILLE, MO 63501
Social Worker (Clinical)
105 PFEIFFER AVE
KIRKSVILLE, MO 63501
Counselor (Mental Health)
105 PFEIFFER AVE
KIRKSVILLE, MO 63501
Social Worker
105 PFEIFFER AVE
KIRKSVILLE, MO 63501
Counselor (Professional)
105 PFEIFFER AVE
KIRKSVILLE, MO 63501
Social Worker (Clinical)
105 PFEIFFER AVE
KIRKSVILLE, MO 63501
Social Worker (Clinical)
105 PFEIFFER AVE
KIRKSVILLE, MO 63501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitley Teter's NPI number?

The NPI number for Kaitley Teter is 1265997464. It was assigned to this individual provider in the NPPES registry on February 1, 2019.

Where is Kaitley Teter located?

Kaitley Teter practices at 105 Pfeiffer Ave, Kirksville, MO 63501. The listed phone number is (660) 665-4612.

What is Kaitley Teter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kaitley Teter enrolled in Medicare?

Yes. Kaitley Teter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kaitley Teter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitley Teter reassigns Medicare benefits to Mark Twain Association For Mental Health, Inc (Hannibal, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaitley Teter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaitley Teter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Kaitley Teter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaitley Teter was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.