Organization Active NPI

Partners in Parenting Excellence LLC

  • Clinical Social Worker
  • Joplin, MO
National Provider Identifier
1104223940
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PARTNERS IN PARENTING EXCELLENCE LLC
Practice address
2906 S Main St
Joplin, MO 64804-2639
Phone
(417) 623-2345
Fax
(844) 272-3899
NPI assigned
Nov 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Mrs. Vanessa Cusick, BS CANDIDATE
Title
Office Manager/Parent Aide
Phone
(417) 437-9270

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2906 S Main St
Joplin, MO 64804-2639

Mailing address

2906 S Main St
Joplin, MO 64804-2639
Phone (417) 623-2345

Other identifiers 1

IdentifierTypeStateIssuer
1104223940MedicaidMO

National Provider Directory

National Provider Directory

Locations

2906 S Main St
Joplin, MO 64804
Phone (417) 623-2345

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1104223940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 S MAIN ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042639",
            "telephone_number": "417-623-2345",
            "fax_number": "844-272-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 S MAIN ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042639",
            "telephone_number": "417-623-2345",
            "fax_number": "844-272-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN PARENTING EXCELLENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "CUSICK",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OFFICE MANAGER/PARENT AIDE",
        "authorized_official_telephone_number": "417-437-9270",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS CANDIDATE"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104223940",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.