Active NPI
Canvergekc LLC
- Professional Counselor
- Lee's Summit, MO
National Provider Identifier
1558286708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- CANVERGEKC LLC
- Practice address
- 218 NW Oldham Pkwy
Lees Summit, MO 64081-1520 - Phone
- (816) 451-0240
- NPI assigned
- Aug 13, 2026
- Last updated
- Aug 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Zoellers, LPC
- Title
- Owner
- Phone
- (816) 451-0240
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
218 NW Oldham Pkwy
Lees Summit, MO 64081-1520
Mailing address
218 NW Oldham Pkwy
Lees Summit, MO 64081-1520
Phone (816) 451-0240
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Professional Counselor
- Lee's Summit, MO
- NPI 1619938875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786579200000",
"number": "1558286708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 NW OLDHAM PKWY",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640811520",
"telephone_number": "816-451-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 NW OLDHAM PKWY",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640811520",
"telephone_number": "816-451-0240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANVERGEKC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-13",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A",
"authorized_official_last_name": "ZOELLERS",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-451-0240",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.