Individual provider Active NPI

Grace Sakoulas Griffin-Spain, MA, PLPC, LPC

  • Professional Counselor
  • Kansas City, MO
National Provider Identifier
1184339434
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2021840944 Issued in MO
Practice address
124 Missouri Ave Ste 200
Kansas City, MO 64106-1499
Phone
(816) 423-2593
NPI assigned
Jan 20, 2023
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2021840944 MO Primary

Addresses

Primary practice location

124 Missouri Ave Ste 200
Kansas City, MO 64106-1499

Mailing address

4801 Roanoke Pkwy Apt 705
Kansas City, MO 64112-1672
Phone (913) 544-4642

Other practice location 1

4801 Roanoke Pkwy Apt 705
Kansas City, MO 64112-1672
Phone (913) 544-4642

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251114003080 MO Practitioner - Mental Health Counselor 5496246647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jennifer Worth MSW LCSW LLCGroup PAC ID 0143657221, 7 clinicians

Practice addresses (Care Compare)

4700 Belleview Ave
Suite 100a
Kansas City, MO 64112-1410
Phone (816) 312-5451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2021840944MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Worth MSW, LCSW, LLC CurrentSince Oct 22, 2025 Accepting new patients

Locations

4700 Belleview Ave
Ste 100
Kansas City, MO 64112
Phone (816) 312-5451

4700 Belleview Ave
Ste 100A
Kansas City, MO 64112
Phone (816) 312-5451

Organizations & group practices 1

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": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1184339434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 ROANOKE PKWY APT 705",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121672",
            "telephone_number": "913-544-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MISSOURI AVE STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641061499",
            "telephone_number": "816-423-2593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Roanoke Pkwy Apt 705",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641121672",
            "country_code": "US",
            "telephone_number": "913-544-4642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN-SPAIN",
        "first_name": "GRACE",
        "middle_name": "SAKOULAS",
        "name_prefix": "Mrs.",
        "credential": "MA, PLPC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021840944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.