Ken W Kuschel, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2002026260 Issued in MO

Practice address

112 S Madison Ave
Aurora, MO 65605-1427

Phone

(417) 678-6233

Fax

(417) 847-1765

NPI assigned

Nov 4, 2005

Sex

Male

Sole proprietor

Yes

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.

• Kingdom Life Counseling LLC

  • Community/Behavioral Health Agency
  • Aurora, MO
  • NPI 1144648569
  NPD (past) Authorized official
• Lifecare Family Services Inc

  • Professional Counselor
  • Aurora, MO
  • NPI 1114070885

  Professional

  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2023.

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1306837604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 CRESTVIEW DR",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657081510",
            "telephone_number": "417-229-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S MADISON AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656051427",
            "telephone_number": "417-678-6233",
            "fax_number": "417-847-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSCHEL",
        "first_name": "KEN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2002026260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11408272",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495100174",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John a. Watts, DC, LLC
• Vanessa M Johnston, L.C.S.W.
• Karah D Young, LLC
• Kingdom Life Counseling LLC
• Jeanette M Kristek, MS CCC SLP
• Lawrence County Board for the Developmentally Disabled
• Kelsey Lawrence, NP
• Benjamin Glen Leavitt, M.D.
• Lester E Cox Medical Centers
• Lester E Cox Medical Centers

• All providers in Aurora, MO
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.