Stephanie Fennell, LPC
Individual provider Active NPI Professional Counselor · Kansas City, MO
NPI 1154719920 · NPPES record last updated Feb 22, 2022
Key facts
- NPI
- 1154719920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2015008514 (MO)
- Practice address
- 3211 Woodland Ave
Kansas City, MO 64109-2073 - Phone
- (816) 931-6500
- Fax
- (816) 554-4350
- NPI assigned
- Jan 2, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015008514 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Mental Health Consultants, Inc. | Professional | Past | Accepting new patients |
| Communitty Mental Health Consultants, Inc. | Professional | Past |
Accepting new patients |
Interoperability endpoints
- stephanie.fennell.npi1154719920.reliant@direct.optumcare.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2015008514 | MO | Yes |
Addresses
Primary practice location
3211 Woodland Ave
Kansas City, MO 64109-2073
Mailing address
1555 NE Rice Rd
Lees Summit, MO 64086-5849
Phone (816) 966-0900
Other practice location 1
306 S Independence St
Harrisonville, MO 64701-2352
Phone (816) 380-4010
Other providers in Kansas City, MO
- Felon Women 4 Change, Incorporated
- Nicole Fels
- Alexandria Elizabeth Felton-Church
- Kathryn Felts
- Garrett Steven Fenley
- Kimberly Fenner-Slaughter
- Madeline Fennessey
- Lauren Fenstermann
- Kyra Fenton
- Rebecca M Ferber
All providers in Kansas City, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.