Barbara Gaye Cleverdon, LCMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LCMFT314 Issued in KS

Practice address

6824 Lackman Rd
Shawnee, KS 66217-9595

Phone

(913) 515-6919

Fax

(913) 721-2154

NPI assigned

Mar 30, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Soul Care Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kansas City, KS
  • NPI 1689816100
  NPD (past) Authorized official
• Soul Care Counseling, LLC

  • Community/Behavioral Health Agency
  • Shawnee, KS
  • NPI 1831305473
  NPD (past) Authorized official

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1366767659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12165 PARALLEL PKWY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094536",
            "telephone_number": "913-515-6919",
            "fax_number": "913-721-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 LACKMAN RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179595",
            "telephone_number": "913-515-6919",
            "fax_number": "913-721-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVERDON",
        "first_name": "BARBARA",
        "middle_name": "GAYE",
        "name_prefix": "Mrs.",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "LCMFT314",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2009010880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon Blake Clark, MD
• Matthew Corbin Clark, LMSW
• Tina M Clark, LSCSW
• Tracy A Clark, ARNP
• Tucker Clark
• Clifford L. Holt, O.D.
• Clifford L. Holt, O.D.,P.a.
• Perry L Cobb, RPH
• Karinne Coberly
• Kristina D Cockerill

• Marriage & Family Therapist in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.