Individual provider Active NPI

Miranda Reeves, LMSW

  • Professional Counselor
  • Parkville, MO
National Provider Identifier
1124743844
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2022037566 Issued in MO
Practice address
400 E 6TH St
Parkville, MO 64152-3703
Phone
(816) 587-4100
Fax
(816) 587-6691
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2022037566 MO Primary

Addresses

Primary practice location

400 E 6TH St
Parkville, MO 64152-3703

Mailing address

400 E 6TH St
Parkville, MO 64152-3703
Phone (816) 587-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250630001453 MO Practitioner - Clinical Social Worker 5395258784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Counseling Associates of Kansas City LLCGroup PAC ID 9234545153, 12 clinicians

Practice addresses (Care Compare)

100 Westwoods Dr
Liberty, MO 64068-1181
Phone (816) 781-8550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022037566MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Counseling Associates of Kansas City LLC CurrentSince Jun 11, 2025 Accepting new patients

Locations

100 Westwoods Dr
Liberty, MO 64068
Phone (816) 781-3371

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": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1124743844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 6TH ST",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523703",
            "telephone_number": "816-587-4100",
            "fax_number": "816-587-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 6TH ST",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523703",
            "telephone_number": "816-587-4100",
            "fax_number": "816-587-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "MIRANDA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2022037566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MO

Sources for this page

Verify at the official NPI Registry.