Marika Amrine, LPC

Individual provider Active NPI Professional Counselor · Raytown, MO

NPI 1124620778 · NPPES record last updated Apr 3, 2026

Key facts

NPI
1124620778
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2017009677 (MO)
Practice address
11517 E 67TH St
Raytown, MO 64133-5458
Phone
(816) 606-7429
NPI assigned
Nov 9, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11517 E 67TH St
Raytown, MO 64133-5458

1800 Community
Clinton, MO 64735-8804

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260408002350 MO Practitioner - Mental Health Counselor 3678048568 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2017009677MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amrine Counseling & Iop Current
since Jan 10, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MO
Professional Counselor 101YP2500X 2017009677 MO Yes
Mental Health Counselor 101YM0800X MO

Addresses

Primary practice location

11517 E 67TH St
Raytown, MO 64133-5458

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (844) 853-8937

Other practice location 1

1010 Remington Plz
Raymore, MO 64083-8640
Phone (844) 853-8937

Other providers in Raytown, MO

All providers in Raytown, MO · Professional Counselor in Missouri

Sources for this page

Verify at the official NPI Registry.