Individual provider Active NPI

Christina Marie Kohn, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1477598951
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2005011605 Issued in MO
Practice address
2901 Troost Ave
Kansas City, MO 64109-1538
Phone
(816) 418-7034
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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 3638 KS
Clinical Social Worker 1041C0700X 2005011605 MO Primary

Addresses

Primary practice location

2901 Troost Ave
Kansas City, MO 64109-1538

Mailing address

2901 Troost Ave
Kansas City, MO 64109-1538

Other practice location 1

6000 LaMar Ave Ste 130
Mission, KS 66202-3234
Phone (913) 826-4200

Other identifiers 1

IdentifierTypeStateIssuer
497341503MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3638KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1477598951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 TROOST AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641091538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 TROOST AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641091538",
            "telephone_number": "816-418-7034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 LaMar Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "KS",
            "postal_code": "662023234",
            "country_code": "US",
            "telephone_number": "913-826-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHN",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3638",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2005011605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497341503",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.