Active NPI
George M Wine Chase, M.DIV., M.S.
- Professional Counselor
- Kansas City, MO
National Provider Identifier
1598732273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2669
- Practice address
- 9233 Ward Pkwy
Suite 305
Kansas City, MO 64114-3366 - Phone
- (816) 824-9898
- Fax
- (816) 527-8052
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2669 | MO | Primary |
Addresses
Primary practice location
9233 Ward Pkwy
Suite 305
Kansas City, MO 64114-3366
Mailing address
9233 Ward Pkwy
Suite 305
Kansas City, MO 64114-3366
Phone (816) 824-9898
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27215019 | Other | MO | BCBS PROVIDER # |
| WINE CHASE | Other | MO | COVENTRY/MHNET |
| 48-1180532 | Other | MO | UBH PROVIDER # |
| 48118053264111B004 | Other | TRICARE | |
| WINE CHASE | Other | MO | HUMANA/CHOICECARE/CORPHEALTH/LIFESYNCH |
| WINE CHASE | Other | MO | MULTIPLAN/PHCS |
| 569447 | Other | MO | VALUEOPTIONS |
| 7968347 | Other | MO | AETNA |
| 2322864 | Other | MO | CIGNA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2669 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1598732273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9233 WARD PKWY",
"address_2": "SUITE 305",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641143366",
"telephone_number": "816-824-9898",
"fax_number": "816-527-8052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9233 WARD PKWY",
"address_2": "SUITE 305",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641143366",
"telephone_number": "816-824-9898",
"fax_number": "816-527-8052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINE CHASE",
"first_name": "GEORGE",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "M.DIV., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2669",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "27215019",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY/MHNET",
"identifier": "WINE CHASE",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH PROVIDER #",
"identifier": "48-1180532",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "48118053264111B004",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA/CHOICECARE/CORPHEALTH/LIFESYNCH",
"identifier": "WINE CHASE",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN/PHCS",
"identifier": "WINE CHASE",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "569447",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7968347",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2322864",
"state": "MO"
}
],
"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 Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.