Active NPI
Kelsey Daye Reger
- Counselor
- Liberty, MO
National Provider Identifier
1174250666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 888 Haines Ste 230
Liberty, MO 64068-1008 - Phone
- (816) 373-9240
- NPI assigned
- Aug 4, 2022
- Last updated
- Aug 4, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
888 Haines Ste 230
Liberty, MO 64068-1008
Mailing address
4200 Little Blue Pkwy Ste 360
Independence, MO 64057-8317
Phone (816) 373-9240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4200 Little Blue Pkwy
Suite 360
Independence, MO 64057-8317
Phone (816) 373-9240
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diakonos Inc | Current | Accepting new patients | |
| Brian a Fidler | Current | Accepting new patients |
Locations
4200 Little Blue Pkwy
Ste 360
Independence, MO 64057
Phone (816) 373-9240
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1174250666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 LITTLE BLUE PKWY STE 360",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640578317",
"telephone_number": "816-373-9240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 HAINES STE 230",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681008",
"telephone_number": "816-373-9240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGER",
"first_name": "KELSEY",
"middle_name": "DAYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.