Individual provider Active NPI

Ryan Keith Speed

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1477272268
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2025053709 Issued in MO
Practice address
6155 Oak St Ste A5
Kansas City, MO 64113-2240
Phone
(913) 228-2422
NPI assigned
Aug 24, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2025053709 MO Primary
Clinical Social Worker 1041C0700X 07115 KS

Addresses

Primary practice location

6155 Oak St Ste A5
Kansas City, MO 64113-2240

Mailing address

6429 Charlotte St
Kansas City, MO 64131-1104
Phone (913) 228-2422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 4, 2025 through Dec 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
07115KSMDClinical Social Worker
2025053709MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Sky Counseling Center, Inc CurrentSince Nov 3, 2024 Accepting new patients

Locations

14895 Antioch Rd
Overland Park, KS 66221
Phone (913) 214-2857

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.

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1477272268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6429 CHARLOTTE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311104",
            "telephone_number": "913-228-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 OAK ST STE A5",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641132240",
            "telephone_number": "913-228-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEED",
        "first_name": "RYAN",
        "middle_name": "KEITH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2025053709",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "07115",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.