NPIMap

Organization Active NPI

Institute on Bereavement & Life Transition, Inc

Doing business as Institute on Life Transition

  • Professional Counselor
  • Lee's Summit, MO
National Provider Identifier
1114966041
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2000159892 Issued in MO
Legal business name
INSTITUTE ON BEREAVEMENT & LIFE TRANSITION, INC
Doing business as
Institute on Life Transition
Practice address
549 SE Shiloh Dr
Lees Summit, MO 64063-1036
Phone
(816) 419-3146
Fax
(816) 525-3416
NPI assigned
Jun 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paige Stanfield-Myers, PHD, LPCNPI 1780218370
Title
Clinical Director
Phone
(816) 419-3146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 2000159892 MO Primary

Addresses

Primary practice location

549 SE Shiloh Dr
Lees Summit, MO 64063-1036

Mailing address

549 SE Shiloh Dr
Lees Summit, MO 64063-1036
Phone (816) 419-3146

Other names 1

  • Institute on Life Transition Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114966041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 SE SHILOH DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631036",
            "telephone_number": "816-419-3146",
            "fax_number": "816-525-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 SE SHILOH DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631036",
            "telephone_number": "816-419-3146",
            "fax_number": "816-525-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE ON BEREAVEMENT & LIFE TRANSITION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STANFIELD-MYERS",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "816-419-3146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2000159892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Institute on Life Transition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.