Individual provider Active NPI

Shirley Waring

  • Mental Health Counselor
  • Leawood, KS
National Provider Identifier
1194701235
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2000150518 Issued in MO
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

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 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

IdentifierTypeStateIssuer
494866924MedicaidMO

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

LicenseStateTypeSpecialty
2000150518MOMDMental Health Counselor

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.