Active NPI
Cheryl Suann Cordes, MA
- Professional Counselor
- Kansas City, MO
National Provider Identifier
1609939693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CS000584
- Practice address
- 3100 Broadway St
312
Kansas City, MO 64111-2658 - Phone
- (816) 753-3837
- Fax
- (816) 931-5821
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 | CS000584 | MO | Primary |
Addresses
Primary practice location
3100 Broadway St
312
Kansas City, MO 64111-2658
Mailing address
3100 Broadway St
312
Kansas City, MO 64111-2658
Phone (816) 753-3837
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20228012 SPEC105 | Other | MO | BCBS |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CS000584 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609939693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 BROADWAY ST",
"address_2": "312",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641112658",
"telephone_number": "816-753-3837",
"fax_number": "816-931-5821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 BROADWAY ST",
"address_2": "312",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641112658",
"telephone_number": "816-753-3837",
"fax_number": "816-931-5821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDES",
"first_name": "CHERYL",
"middle_name": "SUANN",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "CS000584",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "20228012 SPEC105",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.