Organization Active NPI

A New Lens Psychological Services, LLC

  • Psychologist
  • Kansas City, MO
National Provider Identifier
1497427496
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
A NEW LENS PSYCHOLOGICAL SERVICES, LLC
Practice address
9229 Ward Pkwy Ste 260
Kansas City, MO 64114-3333
Phone
(816) 289-2687
Fax
(913) 273-1561
NPI assigned
Sep 29, 2021
Last updated
May 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Mr. Kenneth Gregory BurkeNPI 1932830478
Title
Member
Phone
(816) 289-2687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

9229 Ward Pkwy Ste 260
Kansas City, MO 64114-3333

Mailing address

4419 W 112TH Ter
Leawood, KS 66211-1718
Phone (816) 289-2687

Other identifiers 1

IdentifierTypeStateIssuer
1999140256OtherMOMISSOURI LICENSED PSYCHOLOGIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230614000309 MO Part B Supplier - Clinic/Group Practice 7618335225 Receives reassigned benefits from 2 practitioners
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Locations

9229 Ward Pkwy
Ste 260
Kansas City, MO 64114
Phone (816) 289-2687

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1497427496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 W 112TH TER",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111718",
            "telephone_number": "816-289-2687",
            "fax_number": "913-273-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 WARD PKWY STE 260",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143333",
            "telephone_number": "816-289-2687",
            "fax_number": "913-273-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NEW LENS PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "816-289-2687",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSED PSYCHOLOGIST",
            "identifier": "1999140256",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.