Active NPI
Kaitlyn Ekart-Eliot
- Professional Counselor
- Parkville, MO
National Provider Identifier
1487250262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2020036377
- Practice address
- 400 E 6TH St
Parkville, MO 64152-3703 - Phone
- (816) 587-4100
- Fax
- (816) 587-6691
- NPI assigned
- Dec 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2020036377 | MO | Primary |
Addresses
Primary practice location
400 E 6TH St
Parkville, MO 64152-3703
Mailing address
400 E 6TH St
Parkville, MO 64152-3703
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.synergyservices.org |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020036377 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1487250262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 6TH ST",
"city": "PARKVILLE",
"state": "MO",
"postal_code": "641523703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E 6TH ST",
"city": "PARKVILLE",
"state": "MO",
"postal_code": "641523703",
"telephone_number": "816-587-4100",
"fax_number": "816-587-6691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKART-ELIOT",
"first_name": "KAITLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2020036377",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.synergyservices.org",
"affiliation": "N",
"address_1": "400 E 6th St",
"city": "Parkville",
"state": "MO",
"country_code": "US",
"postal_code": "641523703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Parkville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.