Odyesse Kirkendoll, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12949 Issued in KS

Practice address

757 Armstrong Ave
Kansas City, KS 66101-2701

Phone

(913) 233-3300

NPI assigned

Jan 19, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: odyesse.kirkendoll@wyandotbhn.org

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1114632585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 ARMSTRONG AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661012701",
            "telephone_number": "913-233-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 ARMSTRONG AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661012701",
            "telephone_number": "913-233-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKENDOLL",
        "first_name": "ODYESSE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "12949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003913810001",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Odyesse.Kirkendoll@wyandotbhn.org",
            "affiliation": "Y",
            "affiliationName": "Wyandot Center for Community Behavioral Healthcare, Inc.",
            "address_1": "1301 N 447ST Building A",
            "city": "Kansas City",
            "state": "KS",
            "country_code": "US",
            "postal_code": "66102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anna Grace Kirby, OTR/L
• Christina Janelle Kirby, LMSW
• Grant Thomas Kirby, MD
• Charles Frederick Kircher, MD
• Matthew Daniel Kirchmier, MD
• Hollie Marie Kirkwood, LMSW
• Julia K Kirkwood, P.T.
• Kalee Kirmer-Voss, MD
• Samuel Nevins Kirse
• Jana C Kistler, ARNP -C

• Clinical Social Worker in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.