Organization Active NPI

M. Elizabeth Kingsley, LLC

  • Psychologist
  • Kansas City, MO
National Provider Identifier
1083937023
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
00281 Issued in MO
Legal business name
M. ELIZABETH KINGSLEY, LLC
Practice address
7611 State Line Rd
Ste. 226
Kansas City, MO 64114-6801
Phone
(816) 753-7071
Fax
(816) 926-9180
NPI assigned
Mar 4, 2010
Last updated
Jul 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Authorized official

Name
Judy Fitch
Title
Credentials Coordinator
Phone
(913) 851-7780

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 00281 MO Primary
Marriage & Family Therapist 106H00000X 300045 MO
Marriage & Family Therapist 106H00000X 084 KS

Addresses

Primary practice location

7611 State Line Rd
Ste. 226
Kansas City, MO 64114-6801

Mailing address

7611 State Line Rd
Ste. 226
Kansas City, MO 64114-6801
Phone (816) 753-7071

Other identifiers 3

IdentifierTypeStateIssuer
620005529OtherMORAILROAD MEDICARE
10212031OtherMOBCBS
493440218MedicaidMO

National Provider Directory

National Provider Directory

Locations

1 Ward Pkwy
#107
Kansas City, MO 64112
Phone (816) 756-1722

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1083937023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 STATE LINE RD",
            "address_2": "STE. 226",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641146801",
            "telephone_number": "816-753-7071",
            "fax_number": "816-926-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 STATE LINE RD",
            "address_2": "STE. 226",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641146801",
            "telephone_number": "816-753-7071",
            "fax_number": "816-926-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. ELIZABETH KINGSLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "FITCH",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "CREDENTIALS COORDINATOR",
        "authorized_official_telephone_number": "913-851-7780"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "00281",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "300045",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "084",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "620005529",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10212031",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493440218",
            "state": "MO"
        }
    ],
    "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 Jul 24, 2012; 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.