Ethan Taff, PLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2023028229 Issued in MO

Practice address

501 N Sunset LN
Raymore, MO 64083-9402

Phone

(816) 680-8752

NPI assigned

Jul 19, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compass Health, Inc

  dba Compass Health Network

  • Community/Behavioral Health Agency
  • Clinton, MO
  • NPI 1285619494
  NPD (past)
• Compass Health, Inc.

  • Clinic/Center
  • Clinton, MO
  • NPI 1114301660
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1043990559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 ROCKHILL RD APT 2423",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311185",
            "telephone_number": "816-785-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N SUNSET LN",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839402",
            "telephone_number": "816-680-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFF",
        "first_name": "ETHAN",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2023028229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Steigerwalt, PHARM D
• Jennifer Sticken, PA
• Michael Stott, PHARMD
• Wendy J Sudduth, PHARMD.
• Andrea N Swearingen, LMT
• Mary Migdalia Taft, MSW, LCSW
• Caroline Tanui
• Eve Teis, PSYD
• Stephanie Terrell
• The Rehabilitation Center of Raymore, LLC (The Rehabilitation Center of Raymore)

• Mental Health Counselor in Raymore, MO
• Providers in Raymore, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.