Active NPI
Jonathan Lee Kindler
- Professional Counselor
- Lees Summit, MO
National Provider Identifier
1194243527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2015040056
- Practice address
- 521 SE 2ND St
Lees Summit, MO 64063-2671 - Phone
- (816) 892-0902
- Fax
- (816) 554-0912
- NPI assigned
- Sep 6, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2015040056 | MO | Primary |
Addresses
Primary practice location
521 SE 2ND St
Lees Summit, MO 64063-2671
Mailing address
521 SE 2ND St Ste C
Lees Summit, MO 64063-2690
Phone (816) 892-0902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015040056 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1194243527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 SE 2ND ST STE C",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640632690",
"telephone_number": "816-892-0902",
"fax_number": "816-554-0912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 SE 2ND ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640632671",
"telephone_number": "816-892-0902",
"fax_number": "816-554-0912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDLER",
"first_name": "JONATHAN",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2015040056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.