NPIMap

Organization Active NPI

Creating Connections Therapy LLC

  • Behavior Analyst
  • Prairie Village, KS
National Provider Identifier
1164086070
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CREATING CONNECTIONS THERAPY LLC
Practice address
9100 Mission Rd
Prairie Village, KS 66206-1714
Phone
(913) 735-3393
Fax
(913) 828-6898
NPI assigned
Apr 25, 2019
Organization subpart
Yes
Parent organization
CREATING CONNECTIONS THERAPY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Mary Patry, BCBA
Title
Clinical Director
Phone
(913) 735-3393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

9100 Mission Rd
Prairie Village, KS 66206-1714

Mailing address

3965 W 83Rd St # 157
Prairie Village, KS 66208-5308
Phone (913) 735-3393

Other identifiers 1

IdentifierTypeStateIssuer
1821571728OtherADDITIONAL GROUP NPI NUMBER

Other names 1

  • Creating Connections Therapy ABA Group Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle@creatingconnectionskc.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Creating Connections Therapy LLC2 organizations share this tax ID, including this one
Part of
Creating Connections Therapy LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3020 S 7th St
Kansas City, KS 66103
Phone (913) 258-5322

10456 Mastin St
Overland Park, KS 66212
Phone (913) 735-3393

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 200

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 200

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1164086070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 W 83RD ST # 157",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085308",
            "telephone_number": "913-735-3393",
            "fax_number": "913-828-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 MISSION RD",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662061714",
            "telephone_number": "913-735-3393",
            "fax_number": "913-828-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING CONNECTIONS THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CREATING CONNECTIONS THERAPY LLC",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "PATRY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "913-735-3393",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADDITIONAL GROUP NPI NUMBER",
            "identifier": "1821571728",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle@creatingconnectionskc.com",
            "affiliation": "N",
            "endpointDescription": "Secure Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure Email",
            "address_1": "9100 Mission Rd",
            "city": "Prairie Village",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662061714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Creating Connections Therapy ABA Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.