Individual provider Active NPI

Marilyn Althoff Shankland

  • Mental Health Counselor
  • Gladstone, MO
National Provider Identifier
1174664189
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5412 N Wyandotte St
Gladstone, MO 64118-4418
Phone
(816) 863-5674
Fax
(816) 453-4674
NPI assigned
Feb 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

5412 N Wyandotte St
Gladstone, MO 64118-4418

Mailing address

5412 N Wyandotte St
Gladstone, MO 64118-4418
Phone (816) 863-5674

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

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174664189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 N WYANDOTTE ST",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641184418",
            "telephone_number": "816-863-5674",
            "fax_number": "816-453-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 N WYANDOTTE ST",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641184418",
            "telephone_number": "816-863-5674",
            "fax_number": "816-453-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKLAND",
        "first_name": "MARILYN",
        "middle_name": "ALTHOFF",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.