Active NPI
Lilac Center LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kansas City, MO
National Provider Identifier
1477877223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- LILAC CENTER LLC
- Practice address
- 2029 Buchanan St
Kansas City, MO 64116-3405 - Phone
- (816) 221-0305
- Fax
- (816) 221-9121
- NPI assigned
- Mar 23, 2010
- Last updated
- Sep 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Amy M Tibbitts, LCSW
- Title
- Director
- Phone
- (816) 221-0305
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2000174524 | MO | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
2029 Buchanan St
Kansas City, MO 64116-3405
Mailing address
2029 Buchanan St
Kansas City, MO 64116-3405
Phone (816) 221-0305
Other practice location 1
3721 NE Troon Dr
Lees Summit, MO 64064-1988
Phone (816) 221-0305
Other practice location 2
3630 SW Burlingame Rd
Topeka, KS 66611-2050
Phone (816) 221-0305
Other practice location 3
5300 Foxridge Dr
Mission, KS 66202-1554
Phone (816) 221-0305
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30004775810002 | Medicaid | KS | |
| 30004775810001 | Medicaid | KS | |
| 500116603 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
Enrollment records 2
National Provider Directory
National Provider Directory- Tax ID family
- Lilac Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Marriage & Family Therapist
- Kansas City, MO
- NPI 1861806127
Locations
5300 Foxridge Dr
Mission, KS 66202
Phone (816) 221-0305
3630 SW Burlingame Rd
Topeka, KS 66611
Phone (785) 337-0308
3721 NE Troon Dr
Lees Summit, MO 64064
Phone (816) 200-0515
Practitioners & affiliated clinicians
Practitioners 77
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.
-
- Mental Health Counselor
- Parkville, MO
- NPI 1437536323
-
- Professional Counselor
- Kansas City, MO
- NPI 1679262646
-
- Clinical Social Worker
- Lee's Summit, MO
- NPI 1326437088
-
- Professional Counselor
- Mission, KS
- NPI 1811620917
-
- Clinical Social Worker
- Topeka, KS
- NPI 1447556147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790121600000",
"number": "1477877223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2029 BUCHANAN ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641163405",
"telephone_number": "816-221-0305",
"fax_number": "816-221-9121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2029 BUCHANAN ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641163405",
"telephone_number": "816-221-0305",
"fax_number": "816-221-9121"
}
],
"practiceLocations": [
{
"address_1": "3721 NE Troon Dr",
"address_purpose": "LOCATION",
"city": "Lees Summit",
"state": "MO",
"postal_code": "640641988",
"country_code": "US",
"telephone_number": "816-221-0305",
"fax_number": "816-221-9121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3630 SW Burlingame Rd",
"address_purpose": "LOCATION",
"city": "Topeka",
"state": "KS",
"postal_code": "666112050",
"country_code": "US",
"telephone_number": "816-221-0305",
"fax_number": "816-221-9121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5300 Foxridge Dr",
"address_purpose": "LOCATION",
"city": "Mission",
"state": "KS",
"postal_code": "662021554",
"country_code": "US",
"telephone_number": "816-221-0305",
"fax_number": "816-221-9121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LILAC CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A",
"authorized_official_last_name": "TIBBITTS",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "816-221-0305",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2000174524",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30004775810002",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30004775810001",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500116603",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}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 Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.