Northland Counseling Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

NORTHLAND COUNSELING SERVICES

Practice address

4131 N. Mulberry Dr. Suite 245
Kansas City, MO 64116-2259

Phone

(816) 505-0909

Fax

(816) 505-0908

NPI assigned

Jul 6, 2022

Organization subpart

Yes

Parent organization

NORTHLAND COUNSELING SERVICESAs reported in NPPES

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

Authorized official

Name

Mr. Peter Gusman Jr., MA

Title

Ex. Dir

Phone

(816) 505-0909

Specialties & licenses 1

Addresses

Part of

Northland Counseling Services

Locations

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1104559244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 N. MULBERRY DR. SUITE 245",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641162259",
            "telephone_number": "816-505-0909",
            "fax_number": "816-505-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 N. MULBERRY DR. SUITE 245",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641162259",
            "telephone_number": "816-505-0909",
            "fax_number": "816-505-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND COUNSELING SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHLAND COUNSELING SERVICES",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "GUSMAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "EX. DIR",
        "authorized_official_telephone_number": "816-505-0909",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.