Organization Active NPI

CC Counseling Solutions LLC

  • Clinical Social Worker
  • Gladstone, MO
National Provider Identifier
1295082360
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2012010037 Issued in MO
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Curtis Wayne Campbell, LCSW, LSCSW, LCACNPI 1407120843
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20120820000935 MO Part B Supplier - Clinic/Group Practice 7810144235 Receives reassigned benefits from 1 practitioner
Practice locations: Gladstone, MO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.