Individual provider Active NPI

Chandler Keeton

  • Clinical Social Worker
  • Lees Summit, MO
National Provider Identifier
1356108807
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1555 NE Rice Rd
Lees Summit, MO 64086-5849
Phone
(816) 347-3069
NPI assigned
Mar 1, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1555 NE Rice Rd
Lees Summit, MO 64086-5849

Mailing address

1555 NE Rice Rd
Lees Summit, MO 64086-5849

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
I20250724004160 MO Practitioner - Clinical Social Worker 5395252373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Grace Ministries, IncGroup PAC ID 7719045798, 25 clinicians

Practice addresses (Care Compare)

1272 NE Windsor Dr
Healing Couns CTRS
Lees Summit, MO 64086-5594
Phone (816) 246-4465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Grace Ministries, Inc Clinical CurrentSince Jan 8, 2026 Accepting new patients
Rediscover CurrentSince Jun 1, 2025 Accepting new patients
Rediscover CurrentSince Jun 1, 2025 Accepting new patients
Armstrong Family Counseling, LLC Past Accepting new patients

Locations

1000 E 24th St
Kansas City, MO 64108
Phone (816) 512-7000

1272 NE Windsor Dr
Lees Summit, MO 64086
Phone (816) 246-4465

901 NE Independence Ave
Lees Summit, MO 64086
Phone (816) 246-1800

1555 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 347-3069

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1356108807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 NE RICE RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 NE RICE RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865849",
            "telephone_number": "816-347-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEETON",
        "first_name": "CHANDLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.