Provider Demographics
NPI:1972482214
Name:REPPERT, CARLY (TLMFT)
Entity type:Individual
Prefix:
First Name:CARLY
Middle Name:
Last Name:REPPERT
Suffix:
Gender:F
Credentials:TLMFT
Other - Prefix:
Other - First Name:CARLY
Other - Middle Name:
Other - Last Name:EXTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2535 NW 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64014-1121
Mailing Address - Country:US
Mailing Address - Phone:417-440-1046
Mailing Address - Fax:
Practice Address - Street 1:10881 LOWELL AVE STE 130
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1666
Practice Address - Country:US
Practice Address - Phone:913-386-6889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-30
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist