Organization Active NPI

Kinetic Cure Counseling Inc

Doing business as Kinetic Cure Counseling

  • Clinical Social Worker
  • Merriam, KS
National Provider Identifier
1487260048
Registry record updated Sep 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KINETIC CURE COUNSELING INC
Doing business as
Kinetic Cure Counseling
Practice address
6310 Lamar Ave Ste 100
Merriam, KS 66202-4284
Phone
(816) 288-2918
NPI assigned
Sep 18, 2020
Last updated
Sep 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2024

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

Authorized official

Name
Bethany A Vroom, LCPCNPI 1063873206
Title
President
Phone
(816) 288-2918

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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Group Psychotherapy Psychologist 103TP2701X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

6310 Lamar Ave Ste 100
Merriam, KS 66202-4284

Mailing address

12409 E 56TH St
Kansas City, MO 64133-3097
Phone (816) 651-0997

Other identifiers 2

IdentifierTypeStateIssuer
1063873206OtherNPI
A201267130MedicaidKS

Other names 1

  • Kinetic Cure Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

6310 Lamar Ave
Ste 100
Mission, KS 66202
Phone (816) 288-2918

6750 Antioch Rd
Ste 210
Shawnee Mission, KS 66204
Phone (888) 631-3938

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727568000000",
    "number": "1487260048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12409 E 56TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641333097",
            "telephone_number": "816-651-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 LAMAR AVE STE 100",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662024284",
            "telephone_number": "816-288-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC CURE COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A",
        "authorized_official_last_name": "VROOM",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-288-2918",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063873206",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A201267130",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinetic Cure Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kinetic Cure Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merriam, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.