Active NPI
Charles West
- Professional Counselor
- Overland Park, KS
National Provider Identifier
1063075604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3278
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3278 | KS | MD | Professional 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.