Active NPI
Shara Adrianne McGlothan, LMFT
- Marriage & Family Therapist
- Independence, MO
National Provider Identifier
1104583566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2021045397
- Practice address
- 12401 E 43Rd St S Ste 271
Independence, MO 64055-5965 - Phone
- (816) 200-2855
- NPI assigned
- Nov 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2021045397 | MO | Primary |
Addresses
Primary practice location
12401 E 43Rd St S Ste 271
Independence, MO 64055-5965
Mailing address
12401 E 43Rd St S Ste 271
Independence, MO 64055-5965
Phone (816) 200-2855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021045397 | MO | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well Within Collective, LLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
12401 E 43rd St S
Ste 271
Independence, MO 64055
Phone (319) 435-1342
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.
-
- Marriage & Family Therapist
- Independence, MO
- NPI 1437996766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1104583566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12401 E 43RD ST S STE 271",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640555965",
"telephone_number": "816-200-2855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12401 E 43RD ST S STE 271",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640555965",
"telephone_number": "816-200-2855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGLOTHAN",
"first_name": "SHARA",
"middle_name": "ADRIANNE",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-19",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MO",
"license": "2021045397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.