Active NPI
Jessica Lynn Graves, PLPC, NCC
- Professional Counselor
- Liberty, MO
National Provider Identifier
1487386405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 110 Westwoods Dr
Liberty, MO 64068-1181 - Phone
- (816) 200-2873
- NPI assigned
- Jun 28, 2022
- Last updated
- Jun 28, 2022
- 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 | NU | Primary |
Addresses
Primary practice location
110 Westwoods Dr
Liberty, MO 64068-1181
Mailing address
110 Westwoods Dr
Liberty, MO 64068-1181
Phone (816) 200-2873
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stacy Witzki Consulting, LLC | Current | Accepting new patients |
Locations
110 Westwoods Dr
Liberty, MO 64068
Phone (816) 781-6127
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1487386405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 WESTWOODS DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681181",
"telephone_number": "816-200-2873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 WESTWOODS DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681181",
"telephone_number": "816-200-2873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "PLPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-28",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.