NPIMap

Organization Active NPI

Heartland Center for Behavioral Change

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kansas City, MO
National Provider Identifier
1053587469
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
HEARTLAND CENTER FOR BEHAVIORAL CHANGE
Practice address
1534 Campbell St
Kansas City, MO 64108-1520
Phone
(816) 421-6670
Fax
(816) 214-9579
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Mrs. Myrna Trickey
Title
President/Ceo
Phone
(816) 421-6670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1534 Campbell St
Kansas City, MO 64108-1520

Mailing address

1730 Prospect Ave.
Suite 100
Kansas City, MO 64127-2573
Phone (816) 421-6670

Other names 1

  • Kansas City Community Center Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2115726Heartland Center Behavioral Change1534 Campbell Ave, Kansas City, MO 64108Certificate of waiverSep 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Kansas City Community Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1534 Campbell St
Kansas City, MO 64108
Phone (816) 421-6670

1730 Prospect Ave
Ste 100
Kansas City, MO 64127
Phone (816) 946-8667

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1053587469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 PROSPECT AVE.",
            "address_2": "SUITE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641272573",
            "telephone_number": "816-421-6670",
            "fax_number": "816-214-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 CAMPBELL ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081520",
            "telephone_number": "816-421-6670",
            "fax_number": "816-214-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND CENTER FOR BEHAVIORAL CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "TRICKEY",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "816-421-6670",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kansas City Community Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.