Individual provider Active NPI

Jodi Gusman, MS, LPC

  • Professional Counselor
  • Kansas City, MO
National Provider Identifier
1154334746
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
002759 Issued in MO
Practice address
1000 E 24TH St Ste 2E
Kansas City, MO 64108-2776
Phone
(816) 404-5850
Fax
(816) 404-6049
NPI assigned
Aug 14, 2006
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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 002759 MO Primary

Addresses

Primary practice location

1000 E 24TH St Ste 2E
Kansas City, MO 64108-2776

Mailing address

1000 E 24TH St Ste 2E
Kansas City, MO 64108-2776
Phone (816) 404-5850

Other practice location 1

2211 Charlotte St
Kansas City, MO 64108-2733
Phone (816) 404-6053

Other identifiers 1

IdentifierTypeStateIssuer
490040737MedicaidMO

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
I20231209000455 MO Practitioner - Mental Health Counselor 7416306949 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
002759MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center, Incorporated Current Accepting new patients
Truman Medical Center, Incorporated CurrentSince Jan 1, 2024 Accepting new patients
Truman Medical Center Incorporated CurrentSince Jan 1, 2024 Accepting new patients
University Health Physicians Past Accepting new patients

Locations

606 S Hardy Ave
Independence, MO 64053
Phone (816) 404-5770

1000 E 24th St
Ste 2E
Kansas City, MO 64108
Phone (816) 404-5850

1000 E 24th St
Unit 2C
Kansas City, MO 64108
Phone (816) 404-3710

2211 Charlotte St
Kansas City, MO 64108
Phone (816) 404-4966

2900 Tracy Ave
Kansas City, MO 64109
Phone (816) 404-6360

300 W 19th Ter
Kansas City, MO 64108
Phone (816) 404-5709

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

300 SE 2nd St
Ste 100
Lees Summit, MO 64063
Phone (816) 246-4050

Interoperability endpoints

  • Direct secure messaging: jodi.gusman@direct.tmcmed.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1154334746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 24TH ST STE 2E",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082776",
            "telephone_number": "816-404-5850",
            "fax_number": "816-404-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 24TH ST STE 2E",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082776",
            "telephone_number": "816-404-5850",
            "fax_number": "816-404-6049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Charlotte St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082733",
            "country_code": "US",
            "telephone_number": "816-404-6053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSMAN",
        "first_name": "JODI",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "002759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490040737",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.