Individual provider Active NPI

Michelle Kinnison, MA, LPC

  • Professional Counselor
  • Kansas City, MO
National Provider Identifier
1467918078
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2015013203 Issued in MO
Practice address
2600 E 12TH St
Kansas City, MO 64127-1321
Phone
(816) 965-1125
NPI assigned
Feb 19, 2019
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2015013203 MO Primary

Addresses

Primary practice location

2600 E 12TH St
Kansas City, MO 64127-1321

Mailing address

2600 E 12TH St
Kansas City, MO 64127-1321
Phone (816) 965-1125

Other practice location 1

17886 E 23rd St S
Independence, MO 64057-1840
Phone (816) 836-6705

Other names 1

  • Michelle Gardner Former name

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)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1467918078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 E 12TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641271321",
            "telephone_number": "816-965-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E 12TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641271321",
            "telephone_number": "816-965-1125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17886 E 23rd St S",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640571840",
            "country_code": "US",
            "telephone_number": "816-836-6705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINNISON",
        "first_name": "MICHELLE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2015013203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "GARDNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.