Teresa Reichart-Vernon, Lscsw LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LSCSW 1463 Issued in KS

Legal business name

TERESA REICHART-VERNON, LSCSW LLC

Practice address

10601 Kaw Dr
Ste. B
Edwardsville, KS 66111-1130

Phone

(913) 207-7674

Fax

(913) 745-8040

NPI assigned

Sep 27, 2010

Last updated

Sep 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa Reichart-Vernon, LSCSWNPI 1023074663

Title

Owner

Phone

(913) 207-7674

Specialties & licenses 1

Addresses

Other identifiers 13

Other names 1

• Teresa Reichart-Vernon, LSCSW Other name

Locations

Practitioners 2

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.

• Teresa Lynn Reichart-Vernon, LSCSW

  • Clinical Social Worker
  • Bonner Springs, KS
  • NPI 1023074663
  Authorized official Same address or phone
• Marcia R Boal, MSW

  • Clinical Social Worker
  • Edwardsville, KS
  • NPI 1497793426
  NPD (past)

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1437468345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 KAW DR",
            "address_2": "STE. B",
            "city": "EDWARDSVILLE",
            "state": "KS",
            "postal_code": "661111130",
            "telephone_number": "913-207-7674",
            "fax_number": "913-745-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 KAW DR",
            "address_2": "STE. B",
            "city": "EDWARDSVILLE",
            "state": "KS",
            "postal_code": "661111130",
            "telephone_number": "913-207-7674",
            "fax_number": "913-745-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA REICHART-VERNON, LSCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "REICHART-VERNON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-207-7674",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "LSCSW 1463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "831649000",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100079970C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "36520013",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "513729271",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "513729271",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIFESYNCH",
            "identifier": "513729271",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHNET",
            "identifier": "513729271",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "513729271",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "563233",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS",
            "identifier": "513729271",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPOINT",
            "identifier": "513729271",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENI/BMH",
            "identifier": "REICHART-VERNON",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY/FIRST HEALTH",
            "identifier": "513729271",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teresa Reichart-Vernon, LSCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Edwardsville, KS
• Providers in Edwardsville, KS by specialty
• Mental Health Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.