Amanda Sue Pina

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2018024354 Issued in MO

Practice address

7211 NW 83Rd St Ste 130
Kansas City, MO 64152-6036

Phone

(913) 257-3161

NPI assigned

Aug 3, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blossom Pediatric Therapy, LLC

  • Pediatric Occupational Therapist
  • Lenexa, KS
  • NPI 1831614908
  NPD (past)
• Embark Counseling Services, LLC

  • Professional Counselor
  • Leawood, KS
  • NPI 1356794671
  NPD (past)

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1295213957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 NW 83RD ST STE 130",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641526036",
            "telephone_number": "913-257-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 NW 83RD ST STE 130",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641526036",
            "telephone_number": "913-257-3161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12351 W 96th Ter Ste 105",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662154410",
            "country_code": "US",
            "telephone_number": "913-257-3161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINA",
        "first_name": "AMANDA",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018024354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracyn Jane Pietrusinski
• Edward K Pike, B.S.O.T
• Abigail Jordan Pilecki, OTD, OTR/L
• Pillpack LLC
• Cheryl L Pilsl, CRNA, DNP
• Matthew Richard Pinegar, MD
• Kathryn Pinkham
• Pinnacle Therapy Services LLC
• Nicholas Pinnell, M.A.
• Kirkwood Takeshi Pinto, OTR/L

• Clinical Social Worker in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.