My Mental Health Is Kicking in LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MY MENTAL HEALTH IS KICKING IN LLC

Practice address

12300 E US Highway 40 Ste a
Independence, MO 64055-6008

Phone

(725) 335-5159

NPI assigned

Jun 26, 2024

Organization subpart

No

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

Authorized official

Name

Shataura AndersonNPI 1720977952

Title

Owner

Phone

(725) 335-5159

Specialties & licenses 2

Addresses

Other names 1

• My Mental Health Is Kicking In LLC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shataura Anderson

  • Peer Specialist
  • Independence, MO
  • NPI 1720977952
  NPD Authorized official

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1487499083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 E US HIGHWAY 40 STE A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556008",
            "telephone_number": "725-335-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 E US HIGHWAY 40 STE A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556008",
            "telephone_number": "725-335-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MENTAL HEALTH IS KICKING IN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SHATAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-335-5159"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Mental Health Is Kicking In LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Molly Jane Murray, MS, CCC-SLP
• Bobbi Sue Musgrove
• Musketeer Home Care LLC
• Musketeer in-Home Care LLC
• Fozia Mustafa
• Edwin M Myers, DDS
• N & R of Independence LLC
• Nabil El Halawany, MD
• Adam Gutman Goldberg Nachum, LMSW
• Farid M Namin, MD

• All providers in Independence, MO
• Mental Health Clinic/Center (Including Community Mental Health Center) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.