Individual provider Active NPI

Levi Austin Sanders, LMSW

  • Social Worker
  • Raymore, MO
National Provider Identifier
1144997164
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2021050526 Issued in MO
Practice address
501 N Sunset LN
Raymore, MO 64083-9402
Phone
(844) 853-8937
NPI assigned
Aug 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW12349 KS
Social Worker 104100000X 2021050526 MO Primary

Addresses

Primary practice location

501 N Sunset LN
Raymore, MO 64083-9402

Mailing address

424 Kensington Ave
Kansas City, MO 64124-2110
Phone (580) 884-0030

Other practice location 1

8005 W 110th St Ste 210
Overland Park, KS 66210-2619
Phone (573) 746-2553

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
I20240430000794 MO Practitioner - Clinical Social Worker 2365882933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vivent Health IncGroup PAC ID 1052308376, 54 clinicians

Practice addresses (Care Compare)

4309 E 50TH Ter
Suite 200
Kansas City, MO 64130-2853
Phone (816) 581-8784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW12349KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vivent Health Inc Current Accepting new patients
Vivent Health Inc CurrentSince Mar 11, 2024 Accepting new patients
Kaleidoscope Counseling, LLC Social Worker CurrentSince Dec 1, 2023 Accepting new patients

Locations

5201 Johnson Dr
Ste 305
Mission, KS 66205
Phone (913) 220-7732

8005 W 110th St
Ste 210
Overland Park, KS 66210
Phone (816) 607-1339

4309 E 50th Ter
Kansas City, MO 64130
Phone (816) 561-8784

4309 E 50th Ter
Ste 200
Kansas City, MO 64130
Phone (816) 561-8784

2653 Locust St
Saint Louis, MO 63103
Phone (314) 645-6451

648 N Plankinton Ave
Ste 200
Milwaukee, WI 53203

Organizations & group practices 3

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1144997164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 KENSINGTON AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641242110",
            "telephone_number": "580-884-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N SUNSET LN",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839402",
            "telephone_number": "844-853-8937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8005 W 110th St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662102619",
            "country_code": "US",
            "telephone_number": "573-746-2553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "LEVI",
        "middle_name": "AUSTIN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "LMSW12349",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2021050526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymore, MO

Sources for this page

Verify at the official NPI Registry.