Individual provider Active NPI

Charles West

  • Professional Counselor
  • Overland Park, KS
National Provider Identifier
1063075604
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3278 Issued in KS
Practice address
7923 Santa Fe Dr
Overland Park, KS 66204-3644
Phone
(913) 521-8497
NPI assigned
Apr 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3278 KS Primary

Addresses

Primary practice location

7923 Santa Fe Dr
Overland Park, KS 66204-3644

Mailing address

4419 Tracy Ave
Kansas City, MO 64110-1829
Phone (630) 302-3275

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://analogcounseling.clientsecure.me/client_portal/client_accesses/sign_in Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
3278KSMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1063075604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 TRACY AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641101829",
            "telephone_number": "630-302-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7923 SANTA FE DR",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662043644",
            "telephone_number": "913-521-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-18",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "3278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://analogcounseling.clientsecure.me/client_portal/client_accesses/sign_in",
            "affiliation": "Y",
            "endpointDescription": "simple practice",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7923 Santa Fe Dr",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662043644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.