Code 1 Wellness

Organization Active NPI Clinical Social Worker · Archie, MO

NPI 1407475486 · NPPES record last updated Mar 19, 2026

Key facts

NPI
1407475486
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
CODE 1 WELLNESS
Practice address
302 S Main St # 258
Archie, MO 64725-9608
Phone
(816) 372-2948
NPI assigned
Apr 10, 2020
Organization subpart
No

Authorized official

Name
Vanessa Kennedy
Title
Ceo
Phone
(816) 372-2948

Practitioners 7

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

National Provider Directory

Locations

57 E Main St
Adrian, MO 64720
Phone (816) 297-8700

302 S Main St
Ste 258
Archie, MO 64725

302 S Main St
#258
Archie, MO 64725
Phone (816) 372-2948

5722 N Broadway St
Ste F
Kansas City, MO 64118
Phone (816) 372-2948

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YP2500X
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X Yes
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

302 S Main St # 258
Archie, MO 64725-9608

Mailing address

302 S Main St # 258
Archie, MO 64725-9608
Phone (816) 372-2948

Electronic endpoints

TypeEndpointUseAffiliation
Other URL advancedmd.com

Other providers in Archie, MO

All providers in Archie, MO · Clinical Social Worker in Missouri

Sources for this page

Verify at the official NPI Registry.