Active NPI
Kimberly Retherford, PLPC
- Professional Counselor
- Warrensburg, MO
National Provider Identifier
1437524907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2015041382
- Practice address
- 407 E Russell Ave
Ste 4a
Warrensburg, MO 64093-1242 - Phone
- (660) 429-6678
- Fax
- (660) 429-6672
- NPI assigned
- Dec 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2015041382 | MO | Primary |
Addresses
Primary practice location
407 E Russell Ave
Ste 4a
Warrensburg, MO 64093-1242
Mailing address
407 E Russell Ave
Ste 4a
Warrensburg, MO 64093-1242
Phone (660) 429-6678
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2015041382 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatry Associates of Kansas City PA | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Leawood, KS
- NPI 1356321947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1437524907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 E RUSSELL AVE",
"address_2": "STE 4A",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640931242",
"telephone_number": "660-429-6678",
"fax_number": "660-429-6672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 E RUSSELL AVE",
"address_2": "STE 4A",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640931242",
"telephone_number": "660-429-6678",
"fax_number": "660-429-6672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETHERFORD",
"first_name": "KIMBERLY",
"credential": "PLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-09",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2015041382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrensburg, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.