Successful Edge, LLC.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2012037387 Issued in MO

Legal business name

SUCCESSFUL EDGE, LLC.

Practice address

6301 Rockhill Rd
Kansas City, MO 64131-1124

Phone

(816) 807-6605

NPI assigned

Aug 23, 2014

Organization subpart

No

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

Authorized official

Name

Stanley Arnold Archie, LPC

Title

License Professional Counselor

Phone

(816) 807-6605

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1408752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408752000000",
    "number": "1053711317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6013 WOODLAND AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103555",
            "telephone_number": "816-807-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 ROCKHILL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311124",
            "telephone_number": "816-807-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESSFUL EDGE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-23",
        "last_updated": "2014-08-23",
        "status": "A",
        "authorized_official_last_name": "ARCHIE",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "LICENSE PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "816-807-6605",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "MO",
            "license": "2012037387",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2012037387",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Subbu J Sarma MD LLC
• Jean B Sublette, OTRL CHT
• Gandhivarma Subramaniam
• Srikala Subramanian, MD
• Ashley A Subuh, LCMFT, LMFT
• Successful Edge, LLC.
• Daniel Sucher, DDS
• Alissa Suckiel
• Karen Suddath, MSW
• Vishnu Sudhakaran

• Counselor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2014; 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.