Organization Active NPI

Psu, LLC

  • Mental Health Counselor
  • Kansas City, MO
National Provider Identifier
1407373715
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2017023471 Issued in MO
Legal business name
PSU, LLC
Practice address
851 NW 45TH St Ste 104
Kansas City, MO 64116-4613
Phone
(317) 418-9149
Fax
(816) 883-8274
NPI assigned
Aug 28, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PSU, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. A Monique Burns, PHD, ACSW, LCSWNPI 1861730368
Title
Owner / Clinical Therapist
Phone
(317) 418-9149

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2017023471 MO Primary

Addresses

Primary practice location

851 NW 45TH St Ste 104
Kansas City, MO 64116-4613

Mailing address

851 NW 45TH St Ste 104
Kansas City, MO 64116-4613
Phone (317) 418-9149

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171011001232 MO Part B Supplier - Clinic/Group Practice 7618242082 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory
Part of
Psu LLC

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407373715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 NW 45TH ST STE 104",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641164613",
            "telephone_number": "317-418-9149",
            "fax_number": "816-883-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 NW 45TH ST STE 104",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641164613",
            "telephone_number": "317-418-9149",
            "fax_number": "816-883-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSU, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSU, LLC",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "A MONIQUE",
        "authorized_official_title_or_position": "OWNER / CLINICAL THERAPIST",
        "authorized_official_telephone_number": "317-418-9149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, ACSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2017023471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2022; 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.