Active NPI
Yvonne Geniene Thibault, L.P.C.
- Professional Counselor
- Independence, MO
National Provider Identifier
1487692810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2002025617
- Practice address
- 19401 E 40 Hwy
Suite 140
Independence, MO 64055-5450 - Phone
- (816) 373-6761
- Fax
- (816) 373-6591
- NPI assigned
- Jun 4, 2006
- Last updated
- Jul 13, 2026
- 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 | 2002025617 | MO | Primary |
Addresses
Primary practice location
19401 E 40 Hwy
Suite 140
Independence, MO 64055-5450
Mailing address
19401 E 40 Hwy
Suite 140
Independence, MO 64055-5450
Phone (816) 373-6761
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 |
|---|---|---|---|
| 2002025617 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487692810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19401 E 40 HWY",
"address_2": "SUITE 140",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640555450",
"telephone_number": "816-373-6761",
"fax_number": "816-373-6591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19401 E 40 HWY",
"address_2": "SUITE 140",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640555450",
"telephone_number": "816-373-6761",
"fax_number": "816-373-6591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIBAULT",
"first_name": "YVONNE",
"middle_name": "GENIENE",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2002025617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.