Organization Active NPI

Integrated Self Counselor LLC

  • Professional Counselor
  • Kansas City, MO
National Provider Identifier
1407444607
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
INTEGRATED SELF COUNSELOR LLC
Practice address
5200 N Flora Ave
Kansas City, MO 64118-5760
Phone
(816) 588-3203
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Mr. Kirk Shelton, LPCNPI 1295185296
Title
Business Owner
Phone
(816) 287-1904

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

5200 N Flora Ave
Kansas City, MO 64118-5760

Mailing address

5200 N Flora Ave
Kansas City, MO 64118-5760
Phone (816) 287-1904

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1407444607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 N FLORA AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641185760",
            "telephone_number": "816-287-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 N FLORA AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641185760",
            "telephone_number": "816-588-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SELF COUNSELOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "816-287-1904",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "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 Dec 29, 2025; 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.