Individual provider Active NPI

Larry E Sidney, MA, LPC, NCC, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1215995790
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003878 Issued in MO
Practice address
3101 Broadway St
Suite 230
Kansas City, MO 64111-2659
Phone
(816) 531-2900
Fax
(816) 531-2901
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 000729 MO
Clinical Social Worker 1041C0700X 003878 MO Primary

Addresses

Primary practice location

3101 Broadway St
Suite 230
Kansas City, MO 64111-2659

Mailing address

9812 Winslow PL
Kansas City, MO 64131-3269
Phone (816) 942-5555

Other identifiers 2

IdentifierTypeStateIssuer
127826OtherMONEW DIRECTIONS BEHAVIORAL
28784029OtherMOBLUECROSS BLUE SHIELDS

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 Arts

State licenses

LicenseStateTypeSpecialty
003878MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Plaza Group, LLP Past Accepting new patients

Organizations & group practices 1

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1215995790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9812 WINSLOW PL",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641313269",
            "telephone_number": "816-942-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 BROADWAY ST",
            "address_2": "SUITE 230",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112659",
            "telephone_number": "816-531-2900",
            "fax_number": "816-531-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDNEY",
        "first_name": "LARRY",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MA, LPC, NCC, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "000729",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "003878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW DIRECTIONS BEHAVIORAL",
            "identifier": "127826",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELDS",
            "identifier": "28784029",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.