Amy Congdon
Individual provider Active NPI Mental Health Counselor · Lees Summit, MO
NPI 1497425151 · NPPES record last updated Sep 15, 2021
Key facts
- NPI
- 1497425151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 2020040586 (MO)
- Practice address
- 1239 NE Douglas
Ste. C
Lees Summit, MO 64086 - Phone
- (816) 200-1434
- NPI assigned
- Sep 15, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03799 | KS | MD | Mental Health Counselor |
| 2020040586 | MO | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 03799 | KS | |
| Mental Health Counselor | 101YM0800X | 2020040586 | MO | Yes |
Addresses
Primary practice location
1239 NE Douglas
Ste. C
Lees Summit, MO 64086
Mailing address
312 SW Greenwich Dr Ste 618
Lees Summit, MO 64082-4408
Phone (503) 341-8746
Other providers in Lees Summit, MO
- Compass Health, Inc.
- Compassionate Golden Hearts LLC
- Compassus of Missouri I, LLC
- Complete Coverage LLC
- Bradley J Condon
- Abby Kay Conkling
- Ted Conn
- Jessa Connatser
- Jennifer Connelly
- Dwight Edward Conrad
All providers in Lees Summit, MO · Mental Health Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.