Active NPI
Jacobs Well of Kansas City Ministries
- Professional Counselor
- Kansas City, MO
National Provider Identifier
1245358001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2005041497
- Legal business name
- JACOBS WELL OF KANSAS CITY MINISTRIES
- Practice address
- 5910 E US Highway 40
Kansas City, MO 64129-1153 - Phone
- (816) 923-2557
- Fax
- (816) 214-8853
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Karen Renee Allen, LPC,NCC
- Title
- Director
- Phone
- (816) 923-2557
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2005041497 | MO | Primary |
Addresses
Primary practice location
5910 E US Highway 40
Kansas City, MO 64129-1153
Mailing address
5910 E US Highway 40
Kansas City, MO 64129-1153
Phone (816) 923-2557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490104007 | Medicaid | MO |
National Provider Directory
National Provider Directory- Tax ID family
- Jacobs Well of Kansas City Ministries
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Kansas City, MO
- NPI 1083732846
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Kansas City, MO
- NPI 1538291976
Locations
5910 E US Highway 40
Kansas City, MO 64129
Phone (816) 923-2557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277683200000",
"number": "1245358001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5910 E US HIGHWAY 40",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641291153",
"telephone_number": "816-923-2557",
"fax_number": "816-214-8853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5910 E US HIGHWAY 40",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641291153",
"telephone_number": "816-923-2557",
"fax_number": "816-214-8853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACOBS WELL OF KANSAS CITY MINISTRIES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2010-06-28",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "816-923-2557",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC,NCC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2005041497",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490104007",
"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 Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.