NPIMap

Organization Active NPI

LDS Family Services

Doing business as LDS Family Services MO independence

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Independence, MO
National Provider Identifier
1174634240
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LDS FAMILY SERVICES
Doing business as
LDS Family Services MO independence
Practice address
517 W Walnut St
Suite 2
Independence, MO 64050-3632
Phone
(816) 461-5512
Fax
(816) 461-4907
NPI assigned
Aug 31, 2006
Organization subpart
Yes
Parent organization
LDS FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Mr. Paul R Gale, LCSWNPI 1689898512
Title
Agency Director
Phone
(816) 461-5512

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

517 W Walnut St
Suite 2
Independence, MO 64050-3632

Mailing address

517 W Walnut St
Suite 2
Independence, MO 64050-3632
Phone (816) 461-5512

Other names 1

  • LDS Family Services MO independence Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Robert D Smith PHD46 organizations share this tax ID, including this one
Part of
Robert D Smith PHD

Other organizations with this tax ID 45

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

View all 45

Locations

517 W Walnut St
Ste 2
Independence, MO 64050
Phone (816) 461-5512

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1174634240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 W WALNUT ST",
            "address_2": "SUITE 2",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640503632",
            "telephone_number": "816-461-5512",
            "fax_number": "816-461-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 W WALNUT ST",
            "address_2": "SUITE 2",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640503632",
            "telephone_number": "816-461-5512",
            "fax_number": "816-461-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LDS FAMILY SERVICES",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "GALE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "816-461-5512",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LDS Family Services MO independence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.