Individual provider Active NPI

Beth Ann Houghton, LCSW, LMSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1144862061
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2012007523 Issued in MO
Practice address
9001 State Line Rd # 300
Kansas City, MO 64114-3232
Phone
(816) 363-2600
Fax
(816) 523-0068
NPI assigned
Oct 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5216 KS
Clinical Social Worker 1041C0700X 2012007523 MO Primary

Addresses

Primary practice location

9001 State Line Rd # 300
Kansas City, MO 64114-3232

Mailing address

9001 State Line Rd # 300
Kansas City, MO 64114-3232
Phone (816) 363-2600

Other names 1

  • Beth Ann Huliska Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5216KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1144862061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 STATE LINE RD # 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143232",
            "telephone_number": "816-363-2600",
            "fax_number": "816-523-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 STATE LINE RD # 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143232",
            "telephone_number": "816-363-2600",
            "fax_number": "816-523-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGHTON",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "LCSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "5216",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2012007523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "HULISKA",
            "middle_name": "ANN",
            "credential": "LCSW, LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.