A Therapist Clinical Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

A THERAPIST CLINICAL COUNSELING

Practice address

600 SW Jefferson St
Lees Summit, MO 64063-3988

Phone

(816) 237-0006

NPI assigned

Sep 13, 2024

Last updated

Sep 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chanta Tinney, LCSWNPI 1609513191

Title

Behavioral Health Therapist

Phone

(816) 237-0006

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

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.

• Chanta S Tinney, LMSW

  • Social Worker
  • Independence, MO
  • NPI 1609513191
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1063249159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640630021",
            "telephone_number": "816-237-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SW JEFFERSON ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640633988",
            "telephone_number": "816-237-0006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 S Main St",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640503703",
            "country_code": "US",
            "telephone_number": "816-237-0006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1534 Burlington St",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163826",
            "country_code": "US",
            "telephone_number": "816-237-0006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A THERAPIST CLINICAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "TINNEY",
        "authorized_official_first_name": "CHANTA",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "816-237-0006",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 360 Degrees Wellness Counseling LLC
• 3Rd St Healthcare LLC (Lee's Summit Place)
• Aaa Compassionate Care, LP
• Caitlin Aaron, NP-C
• Afsheen Ishaku Abdullah Patel, MD
• Able Chiro and FM LLC
• Ablelink Smart Living Technologies

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.