Organization Active NPI

Kincare Behavioral Health Inc

  • Case Management Agency
  • Leawood, KS
National Provider Identifier
1174031553
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
140 Issued in KS
Legal business name
KINCARE BEHAVIORAL HEALTH INC
Practice address
4866 W 135TH St
Leawood, KS 66224-8715
Phone
(913) 820-2106
Fax
(913) 815-4127
NPI assigned
Jan 19, 2018
Last updated
Oct 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Authorized official

Name
Lucilene A Gross, BEHAVIOR ANALYSTNPI 1992218721
Title
Clinical Director
Phone
(832) 439-1896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 140 KS Primary
Behavior Analyst 103K00000X 140 KS

Addresses

Primary practice location

4866 W 135TH St
Leawood, KS 66224-8715

Mailing address

4866 W 135TH St
Leawood, KS 66224-8715
Phone (913) 820-2106

National Provider Directory

National Provider Directory

Locations

4866 W 135th St
Leawood, KS 66224
Phone (832) 439-1896

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1174031553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4866 W 135TH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662248715",
            "telephone_number": "913-820-2106",
            "fax_number": "913-815-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4866 W 135TH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662248715",
            "telephone_number": "913-820-2106",
            "fax_number": "913-815-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINCARE BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "LUCILENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "832-439-1896",
        "authorized_official_credential": "BEHAVIOR ANALYST"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "KS",
            "license": "140",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KS",
            "license": "140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.