Individual provider Active NPI

Jodi Mahurin, PLPC

  • Professional Counselor
  • Lees Summit, MO
National Provider Identifier
1386354710
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2022027488 Issued in MO
Practice address
3720 NE Troon Dr
Lees Summit, MO 64064-1988
Phone
(816) 550-3068
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 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 2022027488 MO Primary

Addresses

Primary practice location

3720 NE Troon Dr
Lees Summit, MO 64064-1988

Mailing address

3720 NE Troon Dr
Lees Summit, MO 64064-1988
Phone (816) 878-1455

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jodi.mahurin@riseshinecounseling.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2022027488MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1386354710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 NE TROON DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641988",
            "telephone_number": "816-878-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 NE TROON DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641988",
            "telephone_number": "816-550-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHURIN",
        "first_name": "JODI",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2022027488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jodi.mahurin@riseshinecounseling.com",
            "affiliation": "N",
            "address_1": "3720 NE Troon Dr",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640641988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.