Active NPI
Jessicarose Nneka Omoile, M.ED, PLPC
- Counselor
- Kansas City, MO
National Provider Identifier
1205131802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2010042212
- Practice address
- 3100 Main St
Suite 206
Kansas City, MO 64111-1931 - Phone
- (214) 454-0403
- NPI assigned
- Jan 13, 2011
- Last updated
- Jan 13, 2011
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2010042212 | MO | Primary |
Addresses
Primary practice location
3100 Main St
Suite 206
Kansas City, MO 64111-1931
Mailing address
1520 Ventnor LN
Raymore, MO 64083-8385
Phone (214) 454-0403
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010042212 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294876800000",
"number": "1205131802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 VENTNOR LN",
"city": "RAYMORE",
"state": "MO",
"postal_code": "640838385",
"telephone_number": "214-454-0403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 MAIN ST",
"address_2": "SUITE 206",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641111931",
"telephone_number": "214-454-0403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMOILE",
"first_name": "JESSICAROSE",
"middle_name": "NNEKA",
"credential": "M.ED, PLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-13",
"last_updated": "2011-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2010042212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
- Shari L Ommen, MD
- Omni Advocacy Services Inc (Omni Advocacy Services)
- Omnicare Pharmacy of the Midwest, LLC (Omnicare of Kansas City)
- Omo Care of Mo II, LLC
- Omo Care of Mo, LLC
- Ericka Omonkhoa
- Omonosa Transportation and Social Services LLC (God's Caring Hands Transportation Services)
- Irene O Omoregie, NP
- Evanthia Omoscharka, M.D.
- Oms Rehab, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.