Jon Effertz

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2017016842 Issued in MO

Practice address

600 NW Murray Rd Ste 110
Lees Summit, MO 64081-1238

Phone

(816) 272-5656

NPI assigned

Jan 2, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Psychpros of Kansas City

  • Mental Health Counselor
  • Lees Summit, MO
  • NPI 1629529888
  NPD (past)
• Psychiatry Associates of Kansas City PA

  • Psychiatry Physician
  • Leawood, KS
  • NPI 1356321947
  NPD (past)

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1447767314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 SW 1ST ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640814030",
            "telephone_number": "816-877-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW MURRAY RD STE 110",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640811238",
            "telephone_number": "816-272-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFFERTZ",
        "first_name": "JON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017016842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauryn Renae Eckel
• Roseann Marie Ecklund, R.N.
• John Martin Eddins, RPH
• Karlye Carol Eddins, DC
• Eekc Homecare Concierge, LLC
• Patrick Jason Egberuare
• Dagan Randal Eichholz, MSN, PMHNP-BC
• Brynn Eickhoff
• Ekaterina Alberts MD LLC
• Nacer El Kouhen, M.D.

• Clinical Social Worker in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.