Active NPI
CC Counseling Solutions LLC
- Clinical Social Worker
- Gladstone, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2012010037
- Legal business name
- CC COUNSELING SOLUTIONS LLC
- Practice address
- 119 NE 72ND St
Gladstone, MO 64118-1826 - Phone
- (816) 872-6656
- Fax
- (816) 420-8710
- NPI assigned
- Aug 8, 2012
- Last updated
- Sep 11, 2023
- 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
- Curtis Wayne Campbell, LCSW, LSCSW, LCAC
- Title
- Sole Owner
- Phone
- (816) 872-6656
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2012010037 | MO | Primary |
Addresses
Primary practice location
119 NE 72ND St
Gladstone, MO 64118-1826
Mailing address
5119 NW 85TH St
Kansas City, MO 64154-2793
Phone (816) 872-6656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1910 Haskell Ave
Ste A5
Lawrence, KS 66046
Phone (816) 872-6656
3445 S State Route 291
Ste 3001
Independence, MO 64057
119 NE 72nd St
Kansas City, MO 64118
Phone (816) 420-3130
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Gladstone, MO
- NPI 1407120843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694390400000",
"number": "1295082360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5119 NW 85TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641542793",
"telephone_number": "816-872-6656",
"fax_number": "816-420-8710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 NE 72ND ST",
"city": "GLADSTONE",
"state": "MO",
"postal_code": "641181826",
"telephone_number": "816-872-6656",
"fax_number": "816-420-8710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CC COUNSELING SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-08",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "CURTIS",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "816-872-6656",
"authorized_official_credential": "LCSW, LSCSW, LCAC"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2012010037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gladstone, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.