Individual provider Active NPI

Lance Grace

  • Professional Counselor
  • Kansas City, MO
National Provider Identifier
1518552397
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2021005656 Issued in MO
Practice address
3211 Woodland Ave
Kansas City, MO 64109-2073
Phone
(816) 634-8298
NPI assigned
Mar 4, 2021
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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 2021005656 MO Primary

Addresses

Primary practice location

3211 Woodland Ave
Kansas City, MO 64109-2073

Mailing address

9303 NW 77TH St
Weatherby Lake, MO 64152-1726
Phone (816) 634-8298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231221002394 MO Practitioner - Mental Health Counselor 8224488986 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021005656MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Jan 1, 2024 Accepting new patients
Ipc Pac Healthcare Services of Missouri Inc CurrentSince Apr 14, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Apr 14, 2025 Accepting new patients
Compass Health, Inc CurrentSince Jan 1, 2024 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Apr 14, 2025 Accepting new patients

Locations

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

800 Chambers Rd
Ferguson, MO 63135
Phone (314) 522-8100

3660 Summit St
Kansas City, MO 64111
Phone (816) 531-1089

1221 S Business Highway 13
Lexington, MO 64067
Phone (660) 259-4695

1600 E Rollins St
Moberly, MO 65270
Phone (660) 263-6887

1210 W Ashland St
Nevada, MO 64772
Phone (417) 667-5064

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1518552397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9303 NW 77TH ST",
            "city": "WEATHERBY LAKE",
            "state": "MO",
            "postal_code": "641521726",
            "telephone_number": "816-634-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 WOODLAND AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641092073",
            "telephone_number": "816-634-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "LANCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021005656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.