Individual provider Active NPI

Kori Rongey, LMSW

  • Clinical Social Worker
  • Saint Joseph, MO
National Provider Identifier
1114807203
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2025038889 Issued in MO
Practice address
902 Edmond St Ste 203
Saint Joseph, MO 64501-2762
Phone
(816) 364-4300
Fax
(816) 279-8148
NPI assigned
Sep 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 2025038889 MO Primary

Addresses

Primary practice location

902 Edmond St Ste 203
Saint Joseph, MO 64501-2762

Mailing address

902 Edmond St Ste 203
Saint Joseph, MO 64501-2762
Phone (816) 364-4300

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

LicenseStateTypeSpecialty
2025038889MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Center Inc. Clinical CurrentSince Sep 14, 2025 Accepting new patients

Locations

902 Edmond St
Ste 203
Saint Joseph, MO 64501
Phone (816) 279-4583

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": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1114807203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 EDMOND ST STE 203",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645012762",
            "telephone_number": "816-364-4300",
            "fax_number": "816-279-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 EDMOND ST STE 203",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645012762",
            "telephone_number": "816-364-4300",
            "fax_number": "816-279-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONGEY",
        "first_name": "KORI",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2025038889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.