Accomplishkc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ACCOMPLISHKC

Practice address

2108 W 75TH St Ste D
Prairie Village, KS 66208-3504

Phone

(913) 543-1707

NPI assigned

Sep 19, 2018

Organization subpart

No

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

Authorized official

Name

Etienne Clatanoff, LPC, LPCPNPI 1407036510

Title

Clinical Consultant 1

Phone

(913) 302-1773

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Etienne Clatanoff, LPC

  • Professional Counselor
  • Prairie Village, KS
  • NPI 1407036510
  NPD (past) Authorized official

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1255815874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 W 75TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084378",
            "telephone_number": "913-302-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 W 75TH ST STE D",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083504",
            "telephone_number": "913-543-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCOMPLISHKC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "CLATANOFF",
        "authorized_official_first_name": "ETIENNE",
        "authorized_official_title_or_position": "CLINICAL CONSULTANT 1",
        "authorized_official_telephone_number": "913-302-1773",
        "authorized_official_credential": "LPC, LPCP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Mental Health Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.