Active NPI
Martha Weiner, M.S., CCC-SLP
- Behavior Analyst
- Kansas City, MO
National Provider Identifier
1316458425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1460 NW Vivion Rd
Kansas City, MO 64118-4555 - Phone
- (816) 853-0946
- Fax
- (816) 396-8809
- NPI assigned
- Oct 16, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Speech-Language Pathologist | 235Z00000X | 1228 | KS |
Addresses
Primary practice location
1460 NW Vivion Rd
Kansas City, MO 64118-4555
Mailing address
8320 Twilight LN
Lenexa, KS 66219-1565
Phone (913) 706-4150
Other practice location 1
8320 Twilight Ln
Lenexa, KS 66219-1565
Phone (913) 706-4150
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1228 | Other | KS | KANSAS SLP LICENSE |
| 1228 | Other | KS | SPEECH PATHOLOGY LICENSE |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1228 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Behavioral Services, LLC | Current | Accepting new patients |
Locations
1460 NW Vivion Rd
Kansas City, MO 64118
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 and National Provider Directory roles.
-
- Assistant Behavior Analyst
- Kansas City, MO
- NPI 1376870865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1316458425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8320 TWILIGHT LN",
"city": "LENEXA",
"state": "KS",
"postal_code": "662191565",
"telephone_number": "913-706-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 NW VIVION RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641184555",
"telephone_number": "816-853-0946",
"fax_number": "816-396-8809"
}
],
"practiceLocations": [
{
"address_1": "8320 Twilight Ln",
"address_purpose": "LOCATION",
"city": "Lenexa",
"state": "KS",
"postal_code": "662191565",
"country_code": "US",
"telephone_number": "913-706-4150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEINER",
"first_name": "MARTHA",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-16",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "1228",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS SLP LICENSE",
"identifier": "1228",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH PATHOLOGY LICENSE",
"identifier": "1228",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.