Individual provider Active NPI

Wesley Raymond Hirst, L.P.C.

  • Professional Counselor
  • Saint Joseph, MO
National Provider Identifier
1497024400
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
000440 Issued in MO
Practice address
5608 Candleberry Dr
Saint Joseph, MO 64503-2009
Phone
(816) 617-2476
Fax
(816) 671-4022
NPI assigned
Dec 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 000440 MO Primary

Addresses

Primary practice location

5608 Candleberry Dr
Saint Joseph, MO 64503-2009

Mailing address

5608 Candleberry Dr
Saint Joseph, MO 64503-2009
Phone (816) 617-2476

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

LicenseStateTypeSpecialty
000440MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1497024400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 CANDLEBERRY DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645032009",
            "telephone_number": "816-617-2476",
            "fax_number": "816-671-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 CANDLEBERRY DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645032009",
            "telephone_number": "816-617-2476",
            "fax_number": "816-671-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRST",
        "first_name": "WESLEY",
        "middle_name": "RAYMOND",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "000440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.