Individual provider Active NPI

Peyton Jean Meisinger

  • Behavior Analyst
  • Kansas City, MO
National Provider Identifier
1568978039
Registry record updated May 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
376 Issued in KS
Practice address
1460 NW Vivion Rd
Kansas City, MO 64118-4555
Phone
(816) 853-0946
NPI assigned
Dec 20, 2017
Last updated
May 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2020013180 MO
Behavior Analyst 103K00000X 376 KS Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

1460 NW Vivion Rd
Kansas City, MO 64118-4555

Mailing address

6394 College Blvd
Overland Park, KS 66211-1506
Phone (800) 345-0448

Other practice location 1

6394 College Blvd
Overland Park, KS 66211-1506
Phone (800) 345-0448

Other names 1

  • Peyton Jean Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
376KSMDBehavioral Analyst
2020013180MOMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Behavioral Services, LLC CurrentSince May 3, 2020 Accepting new patients

Locations

1460 NW Vivion Rd
Kansas City, MO 64118

Organizations & group practices 1

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": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589587200000",
    "number": "1568978039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6394 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111506",
            "telephone_number": "800-345-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 NW VIVION RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184555",
            "telephone_number": "816-853-0946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6394 College Blvd",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662111506",
            "country_code": "US",
            "telephone_number": "800-345-0448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEISINGER",
        "first_name": "PEYTON",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2020-05-16",
        "certification_date": "2020-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2020013180",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KS",
            "license": "376",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEYTON",
            "last_name": "JOHNSON",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.