Organization Active NPI

Koch Mental Health Services Inc

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1578635124
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
M0002911 Issued in MO
Legal business name
KOCH MENTAL HEALTH SERVICES INC
Practice address
411 Nichols Rd
Suite 251
Kansas City, MO 64112
Phone
(816) 561-5700
Fax
(816) 561-5700
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Janis Jean Koch, RN MN CS
Title
Secretary
Phone
(816) 561-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X M0002911 MO Primary

Addresses

Primary practice location

411 Nichols Rd
Suite 251
Kansas City, MO 64112

Mailing address

411 Nichols Rd
Suite 251 Koch Mental Health Services Inc
Kansas City, MO 64112
Phone (816) 561-5700

National Provider Directory

National Provider Directory

Locations

411 Nichols Rd
Ste 251
Kansas City, MO 64112
Phone (816) 561-5700

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578635124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 NICHOLS RD",
            "address_2": "SUITE 251 KOCH MENTAL HEALTH SERVICES INC",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64112",
            "telephone_number": "816-561-5700",
            "fax_number": "816-561-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 NICHOLS RD",
            "address_2": "SUITE 251",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64112",
            "telephone_number": "816-561-5700",
            "fax_number": "816-561-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOCH MENTAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "816-561-5700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN MN CS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "M0002911",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 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.