Organization Active NPI

MBSS Counseling Group LLC

  • Children's Substance Abuse Rehabilitation Facility
  • Kansas City, MO
National Provider Identifier
1255724654
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
NO.6748 Issued in MO
Legal business name
MBSS COUNSELING GROUP LLC
Practice address
5706 Troost Ave
Kansas City, MO 64110-2826
Phone
(816) 866-1192
NPI assigned
Mar 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Authorized official

Name
Mr. Jahi Boseda, CRADC
Title
Counselor
Phone
(816) 679-2160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X NO.6748 MO Primary

Addresses

Primary practice location

5706 Troost Ave
Kansas City, MO 64110-2826

Mailing address

5510 NE Antioch Rd
265
Kansas City, MO 64119-2301
Phone (816) 866-1192

National Provider Directory

National Provider Directory

Locations

5706 Troost Ave
Kansas City, MO 64110
Phone (816) 866-1192

5510 N Antioch Rd
#265
Kansas City, MO 64119

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1255724654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 NE ANTIOCH RD",
            "address_2": "265",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192301",
            "telephone_number": "816-866-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5706 TROOST AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641102826",
            "telephone_number": "816-866-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBSS COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "BOSEDA",
        "authorized_official_first_name": "JAHI",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "816-679-2160",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRADC"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "MO",
            "license": "NO.6748",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 10, 2015; 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.