Individual provider Active NPI

Brigette Latrice Banks, MS

  • Professional Counselor
  • Kansas City, MO
National Provider Identifier
1336461110
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2009038601 Issued in MO
Practice address
421 E 137TH St
Kansas City, MO 64145-1455
Phone
(816) 508-3709
Fax
(816) 508-3797
NPI assigned
Feb 22, 2010
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2009038601 MO Primary

Addresses

Primary practice location

421 E 137TH St
Kansas City, MO 64145-1455

Mailing address

10408 E 57TH Ter
Raytown, MO 64133-3302
Phone (816) 420-7092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260212000611 MO Practitioner - Mental Health Counselor 6507342011 Practice locations: Kansas City, MO

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10408 E 57TH Ter
Raytown, MO 64133-3302

5934 Prospect Ave
Kansas City, MO 64130-3626
Phone (816) 420-7092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2009038601MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ozanam Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1336461110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10408 E 57TH TER",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641333302",
            "telephone_number": "816-420-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E 137TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451455",
            "telephone_number": "816-508-3709",
            "fax_number": "816-508-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "BRIGETTE",
        "middle_name": "LATRICE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2009038601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.