Active NPI
Richelle Dori Stillwell, LCPC
- Mental Health Counselor
- Lees Summit, MO
National Provider Identifier
1154845675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2019040530
- Practice address
- 455 SW Ward Rd
Lees Summit, MO 64081-2448 - Phone
- (816) 799-7953
- Fax
- (816) 370-8849
- NPI assigned
- Jul 26, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Mental Health Counselor | 101YM0800X | 2019040530 | MO | Primary |
Addresses
Primary practice location
455 SW Ward Rd
Lees Summit, MO 64081-2448
Mailing address
2826 SW 10TH Ter
Lees Summit, MO 64081-3744
Phone (816) 359-3497
Other practice location 1
471 SW Ward Rd
Lees Summit, MO 64081-2448
Phone (816) 799-7953
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 |
|---|---|---|---|
| 2019040530 | MO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1154845675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2826 SW 10TH TER",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640813744",
"telephone_number": "816-359-3497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 SW WARD RD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640812448",
"telephone_number": "816-799-7953",
"fax_number": "816-370-8849"
}
],
"practiceLocations": [
{
"address_1": "471 SW Ward Rd",
"address_purpose": "LOCATION",
"city": "Lees Summit",
"state": "MO",
"postal_code": "640812448",
"country_code": "US",
"telephone_number": "816-799-7953",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STILLWELL",
"first_name": "RICHELLE",
"middle_name": "DORI",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2019040530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.