Colleen Marie Innis, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1601 E 18TH St Ste 224
Kansas City, MO 64108-1754

Phone

(816) 548-7585

Fax

(844) 471-7844

NPI assigned

Oct 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Deer Oaks Mental Health Associates PC

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1134175763

  MO

  Medicare reassignment NPD
• True Journey Counseling Group

  • Clinical Social Worker
  • Kansas City, MO
  • NPI 1457995235

  Professional

  NPD

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1437661485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 18TH ST STE 224",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081754",
            "telephone_number": "816-838-9665",
            "fax_number": "844-471-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 18TH ST STE 224",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081754",
            "telephone_number": "816-548-7585",
            "fax_number": "844-471-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INNIS",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2017035037",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Injury Treatment Centers of Kansas City, LLC
• April Inman, PHARMD
• Innate Family Chiropractic Inc.
• Innerworth Psychology, LLC
• Lianne L. Innes, O.D.
• Rosalyn E Inniss, M.D.
• Innovative Eyecare LLC
• Innovative Infusions, LLC
• Innovative Medical Solutions, Inc.
• Innovative Therapy Solutions LLC

• Professional Counselor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.