Active NPI
Milton Eugene Maricle, LPC
- Professional Counselor
- Kansas City, MO
National Provider Identifier
1023638384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 03476
- Practice address
- 2659 Peery Ave
Kansas City, MO 64127-1300 - Phone
- (816) 384-0700
- NPI assigned
- Apr 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2017017687 | MO | |
| Professional Counselor | 101YP2500X | 03476 | KS | Primary |
Addresses
Primary practice location
2659 Peery Ave
Kansas City, MO 64127-1300
Mailing address
2659 Peery Ave
Kansas City, MO 64127-1300
Phone (816) 384-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017017687 | MO | MD | Mental Health Counselor |
| 03476 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rediscover | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Methadone Clinic
- Kansas City, MO
- NPI 1659749414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1023638384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2659 PEERY AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641271300",
"telephone_number": "816-384-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2659 PEERY AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641271300",
"telephone_number": "816-384-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARICLE",
"first_name": "MILTON",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-16",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2017017687",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "03476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.