Active NPI
Kelly Marie Sears, LPC
- Professional Counselor
- Blue Springs, MO
National Provider Identifier
1154620821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2000152561
- Practice address
- 7920 S 7 Hwy
Blue Springs, MO 64014-5704 - Phone
- (816) 229-7311
- NPI assigned
- Mar 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2000152561 | MO | Primary |
Addresses
Primary practice location
7920 S 7 Hwy
Blue Springs, MO 64014-5704
Mailing address
1332 SW Graystone Cir
Grain Valley, MO 64029-8414
Phone (816) 229-7311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000152561 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1154620821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1332 SW GRAYSTONE CIR",
"city": "GRAIN VALLEY",
"state": "MO",
"postal_code": "640298414",
"telephone_number": "816-229-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7920 S 7 HWY",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640145704",
"telephone_number": "816-229-7311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEARS",
"first_name": "KELLY",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-21",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2000152561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.