Organization Active NPI

Novo Counseling KC LLC

  • Mental Health Counselor
  • Kansas City, MO
National Provider Identifier
1073939989
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NOVO COUNSELING KC LLC
Practice address
7280 NW 87TH Ter
Suite 210
Kansas City, MO 64153-3720
Phone
(816) 841-7735
NPI assigned
Mar 16, 2014
Last updated
Jun 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Nicole Flynn Jeckell, LPC,NCC
Title
Partner
Phone
(816) 255-5794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7280 NW 87TH Ter
Suite 210
Kansas City, MO 64153-3720

Mailing address

7280 NW 87TH Ter
Suite 210
Kansas City, MO 64153-3720
Phone (816) 841-7735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140606000124 MO Part B Supplier - Clinic/Group Practice 1355565656 Receives reassigned benefits from 2 practitioners
Practice locations: Kansas City, MO
O20190415002947 KS Part B Supplier - Clinic/Group Practice 1355565656 Receives reassigned benefits from 1 practitioner
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Locations

7500 College Blvd
Ste 500
Overland Park, KS 66210
Phone (913) 735-9044

10985 Cody St
Ste 105
Overland Park, KS 66210
Phone (816) 841-7735

Practitioners & affiliated clinicians

Practitioners 3

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": "1394928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1073939989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7280 NW 87TH TER",
            "address_2": "SUITE 210",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641533720",
            "telephone_number": "816-841-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 NW 87TH TER",
            "address_2": "SUITE 210",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641533720",
            "telephone_number": "816-841-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVO COUNSELING KC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-16",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "FLYNN JECKELL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "816-255-5794",
        "authorized_official_credential": "LPC,NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 2, 2014; 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.