Individual provider Active NPI

Aimee Johnson, LCSW, LSCSW

  • Clinical Social Worker
  • Harrisonville, MO
National Provider Identifier
1104294453
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2015012174 Issued in MO
Practice address
1300 Locust St Ste E
Harrisonville, MO 64701-1366
Phone
(816) 884-4004
Fax
(816) 884-3414
NPI assigned
Sep 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2015012174 MO Primary

Addresses

Primary practice location

1300 Locust St Ste E
Harrisonville, MO 64701-1366

Mailing address

1300 Locust St Ste E
Harrisonville, MO 64701-1366
Phone (816) 884-4004

Other names 1

  • Miss Aimee Leanos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151211002158 MO Practitioner - Clinical Social Worker 4284935487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 Bradford LN
Belton, MO 64012-2086
Phone (816) 884-4004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Balanced Mind, LLC Clinical CurrentSince Oct 25, 2015 Accepting new patients

Locations

111 Bradford Ln
Belton, MO 64012
Phone (816) 884-4004

1300 Locust St
Ste E
Harrisonville, MO 64701
Phone (816) 738-1545

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1104294453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 LOCUST ST STE E",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647011366",
            "telephone_number": "816-884-4004",
            "fax_number": "816-884-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 LOCUST ST STE E",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647011366",
            "telephone_number": "816-884-4004",
            "fax_number": "816-884-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AIMEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2015012174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIMEE",
            "last_name": "LEANOS",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrisonville, MO

Sources for this page

Verify at the official NPI Registry.