Active NPI
Kristin M Kay, LSCSW
- Clinical Social Worker
- Galena, MO
National Provider Identifier
1295015386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSCSW 4414
- Practice address
- 60 Peaceful Ridge Rd
Galena, MO 65656-7467 - Phone
- (816) 258-4669
- NPI assigned
- Aug 22, 2011
- Last updated
- Dec 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2023006794 | MO | |
| Clinical Social Worker | 1041C0700X | 11343-123 | WI | |
| Clinical Social Worker | 1041C0700X | LSCSW 4414 | KS | Primary |
Addresses
Primary practice location
60 Peaceful Ridge Rd
Galena, MO 65656-7467
Mailing address
60 Peaceful Ridge Rd
Galena, MO 65656-7467
Phone (816) 258-4669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200736830A | Medicaid | KS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSCSW 4414 | KS | MD | Clinical Social Worker |
| 2023006794 | MO | MD | Clinical Social Worker |
| 11343-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Layton Center, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Ottawa, KS
- NPI 1972209732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1295015386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 PEACEFUL RIDGE RD",
"city": "GALENA",
"state": "MO",
"postal_code": "656567467",
"telephone_number": "816-258-4669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 PEACEFUL RIDGE RD",
"city": "GALENA",
"state": "MO",
"postal_code": "656567467",
"telephone_number": "816-258-4669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAY",
"first_name": "KRISTIN",
"middle_name": "M",
"credential": "LSCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2023006794",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "11343-123",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "LSCSW 4414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200736830A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Galena, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.