Jordan Kristine Graves

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3516 Issued in KS

Practice address

1301 N 47TH St
Kansas City, KS 66102-1705

Phone

(913) 287-0007

NPI assigned

Oct 8, 2019

Last updated

Oct 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wyandot Center for Community Behavioral Healthcare IncGroup PAC ID 5496745325, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wyandot Center for Community Behavioral Healthcare, Inc.

  dba Wyandot Inc.

  • Community/Behavioral Health Agency
  • Kansas City, KS
  • NPI 1629159389
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1598306888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 W 207TH ST",
            "city": "BUCYRUS",
            "state": "KS",
            "postal_code": "660138502",
            "telephone_number": "913-710-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N 47TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661021705",
            "telephone_number": "913-287-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "JORDAN",
        "middle_name": "KRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "3516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce A Grashoff, M.D.
• Michael John Grasing, MD
• Dennis Grauer, BS, MS, PHD
• Evan Thomas Graumann, MD
• Amya Graves
• Gray Horse Mental Wellness LLC
• Brandy Marie Gray, APRN
• Lauren Leigh Gray, CRNA
• Meredith Kathleen Gray, M.D.
• Riley Gray, DO

• Professional Counselor in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.