Organization Active NPI

Professional Counseling Associates, Inc.

  • Clinical Social Worker
  • Saint Joseph, MO
National Provider Identifier
1467490029
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PROFESSIONAL COUNSELING ASSOCIATES, INC.
Practice address
501 S 36TH St
Suite 104
Saint Joseph, MO 64506-2952
Phone
(816) 232-0077
Fax
(816) 232-0077
NPI assigned
Jun 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Diana Kay Adams, MS LCSWNPI 1568405165
Title
President
Phone
(816) 232-0077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MO Primary

Addresses

Primary practice location

501 S 36TH St
Suite 104
Saint Joseph, MO 64506-2952

Mailing address

501 S 36TH St
Suite 104
Saint Joseph, MO 64506-2952
Phone (816) 232-0077

National Provider Directory

National Provider Directory

Locations

501 S 36th St
Ste 104
Saint Joseph, MO 64506
Phone (816) 232-0077

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467490029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S 36TH ST",
            "address_2": "SUITE 104",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062952",
            "telephone_number": "816-232-0077",
            "fax_number": "816-232-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S 36TH ST",
            "address_2": "SUITE 104",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062952",
            "telephone_number": "816-232-0077",
            "fax_number": "816-232-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELING ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-232-0077",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.