NPIMap

Organization Active NPI

Healing Grace Ministries, Inc

Doing business as Healing Grace Counseling Center

  • Professional Counselor
  • Lee's Summit, MO
National Provider Identifier
1346417706
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HEALING GRACE MINISTRIES, INC
Doing business as
Healing Grace Counseling Center
Practice address
1272 NE Windsor Dr
Lees Summit, MO 64086-5594
Phone
(623) 238-2296
NPI assigned
May 14, 2008
Last updated
Oct 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Amy Dublinske, LPCNPI 1336650555
Title
President
Phone
(816) 246-4465

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Clinical Psychologist 103TC0700X NU
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

1272 NE Windsor Dr
Lees Summit, MO 64086-5594

Mailing address

1272 NE Windsor Dr
Lees Summit, MO 64086-5594
Phone (623) 238-2296

Other names 1

  • Healing Grace Counseling Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081020000412 MO Part B Supplier - Clinic/Group Practice 7719045798 Receives reassigned benefits from 32 practitioners
Practice locations: Lees Summit, MO

National Provider Directory

National Provider Directory

Locations

6651 N Oak Trfy
Ste 17
Kansas City, MO 64118
Phone (816) 246-4465

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1346417706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 NE WINDSOR DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865594",
            "telephone_number": "623-238-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 NE WINDSOR DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865594",
            "telephone_number": "623-238-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING GRACE MINISTRIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "DUBLINSKE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-246-4465",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Grace Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healing Grace Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lee's Summit, MO

Sources for this page

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