Individual provider Active NPI

Margaux Kervin

  • Professional Counselor
  • Kansas City, MO
National Provider Identifier
1194244541
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2017009203 Issued in MO
Practice address
3100 Broadway Blvd Ste 10
Kansas City, MO 64111-2658
Phone
(816) 587-4900
Fax
(816) 256-2780
NPI assigned
Sep 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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 2017009203 MO Primary

Addresses

Primary practice location

3100 Broadway Blvd Ste 10
Kansas City, MO 64111-2658

Mailing address

3100 Broadway Blvd Ste 10
Kansas City, MO 64111-2658
Phone (816) 587-4900

Other practice location 1

8333 E Blue Pkwy
Kansas City, MO 64133-4750
Phone (816) 474-7677

Other practice location 2

5 Westowne St Ste 504
Liberty, MO 64068-3512
Phone (816) 587-4900

Other practice location 3

5709 NW 64th Ter
Kansas City, MO 64151-2382
Phone (816) 587-4900

Other practice location 4

4731 S Cochise Dr Ste 206
Independence, MO 64055-6975
Phone (816) 587-4900

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
I20240423002078 MO Practitioner - Mental Health Counselor 9739528738 Practice locations: Kansas City, MO; Liberty, MO

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3100 Broadway Blvd
Suite 410
Kansas City, MO 64111-2655
Phone (816) 587-4900

5 Westowne St
Suite 504
Liberty, MO 64068-3512
Phone (816) 587-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017009203MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Memoir Counseling, LLC CurrentSince Apr 5, 2020 Accepting new patients
Metropolitan Counseling Services PastSince May 14, 2023 Accepting new patients

Locations

4731 S Cochise Dr
Ste 206
Independence, MO 64055
Phone (816) 373-6400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1194244541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 BROADWAY BLVD STE 10",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112658",
            "telephone_number": "816-587-4900",
            "fax_number": "816-256-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 BROADWAY BLVD STE 10",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112658",
            "telephone_number": "816-587-4900",
            "fax_number": "816-256-2780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8333 E Blue Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641334750",
            "country_code": "US",
            "telephone_number": "816-474-7677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Westowne St Ste 504",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "MO",
            "postal_code": "640683512",
            "country_code": "US",
            "telephone_number": "816-587-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5709 NW 64th Ter",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641512382",
            "country_code": "US",
            "telephone_number": "816-587-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4731 S Cochise Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640556975",
            "country_code": "US",
            "telephone_number": "816-587-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERVIN",
        "first_name": "MARGAUX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017009203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.