Nikol Averbuch, LPC, LPT
Individual provider Active NPI Professional Counselor · Kansas City, MO
NPI 1508917097 · NPPES record last updated Feb 27, 2015
Key facts
- NPI
- 1508917097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2008011716 (MO)
- Practice address
- 4104 Central St
Kansas City, MO 64111-2307 - Phone
- (816) 974-7210
- NPI assigned
- Jan 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 2008011716 | MO | MD | Professional Counselor |
| 2002020507 | MO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2002020507 | MO | |
| Professional Counselor | 101YP2500X | 2008011716 | MO | Yes |
Addresses
Primary practice location
4104 Central St
Kansas City, MO 64111-2307
Mailing address
4104 Central St
Kansas City, MO 64111-2307
Phone (816) 974-7210
Other providers in Kansas City, MO
- Obie Andrel Austin
- Autism Supports Connection
- Autumn Woods Inc.
- Bipinchandra Avashia
- Wendy Lynette Aven
- Bernice Averill
- Lisa Marie Avery
- Monique Rochelle Avila
- Edward Aviles
- Elizabeth Aviles
All providers in Kansas City, MO · Professional 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 Feb 27, 2015. 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.