Organization Active NPI

John and Jeanneen ENT

Doing business as dbaLiberty Family Counseling

  • Professional Counselor
  • Kansas City, MO
National Provider Identifier
1356778260
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2002009408 Issued in MO
Legal business name
JOHN AND JEANNEEN ENT
Doing business as
dbaLiberty Family Counseling
Practice address
9601 NE Barry Rd
Suite 220
Kansas City, MO 64158-7633
Phone
(816) 415-2333
Fax
(816) 781-1111
NPI assigned
Oct 9, 2013
Last updated
Oct 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Mrs. Jeanneen Joy Morris, LPC
Title
Owner
Phone
(816) 415-2333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2002009408 MO Primary

Addresses

Primary practice location

9601 NE Barry Rd
Suite 220
Kansas City, MO 64158-7633

Mailing address

9601 NE Barry Rd
Suite 220
Kansas City, MO 64158-7633
Phone (816) 415-2333

Other identifiers 1

IdentifierTypeStateIssuer
495765109MedicaidMO

Other names 1

  • dbaLiberty Family Counseling Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dbaliberty Family Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1356778260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 NE BARRY RD",
            "address_2": "SUITE 220",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641587633",
            "telephone_number": "816-415-2333",
            "fax_number": "816-781-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 NE BARRY RD",
            "address_2": "SUITE 220",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641587633",
            "telephone_number": "816-415-2333",
            "fax_number": "816-781-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN AND JEANNEEN ENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JEANNEEN",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-415-2333",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2002009408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495765109",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dbaLiberty Family Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 9, 2013; 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.