Active NPI
Shirley Waring
- Mental Health Counselor
- Leawood, KS
National Provider Identifier
1194701235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2000150518
- Practice address
- 11111 Nall Ave
Suite 103
Leawood, KS 66211-1620 - Phone
- (913) 710-2040
- Fax
- (913) 766-1916
- NPI assigned
- Dec 20, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2000150518 | MO | Primary |
Addresses
Primary practice location
11111 Nall Ave
Suite 103
Leawood, KS 66211-1620
Mailing address
4726 W 78TH Ter
Prairie Village, KS 66208-4413
Phone (913) 710-2040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 494866924 | Medicaid | MO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000150518 | MO | MD | Mental Health Counselor |
Interoperability endpoints
- https://api.platform.athenahealth.com/15607/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194701235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4726 W 78TH TER",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662084413",
"telephone_number": "913-710-2040",
"fax_number": "913-766-1916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 NALL AVE",
"address_2": "SUITE 103",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111620",
"telephone_number": "913-710-2040",
"fax_number": "913-766-1916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARING",
"first_name": "SHIRLEY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2000150518",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "494866924",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leawood, KS
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.