Organization Active NPI

Fostering Ambition to Initiate Therapeutic Healing Therapy Group

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1619644630
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FOSTERING AMBITION TO INITIATE THERAPEUTIC HEALING THERAPY GROUP
Practice address
30 W Pershing Rd Unit 413709
Kansas City, MO 64141-7610
Phone
(816) 944-0858
NPI assigned
Aug 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Mrs. Leshaunda Rockett-Dixon, MSW, LCSW, AADCNPI 1720320203
Title
Chief Executive Officer
Phone
(816) 944-0858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

30 W Pershing Rd Unit 413709
Kansas City, MO 64141-7610

Mailing address

30 W Pershing Rd Unit 413709
Kansas City, MO 64141-7610
Phone (816) 944-0858

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leshaunda.rockett-dixon@faiththerapygroup.com Direct

National Provider Directory

National Provider Directory

Locations

30 W Pershing Rd
Unit 413709
Kansas City, MO 64141
Phone (816) 944-0858

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1619644630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W PERSHING RD UNIT 413709",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641417610",
            "telephone_number": "816-944-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W PERSHING RD UNIT 413709",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641417610",
            "telephone_number": "816-944-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTERING AMBITION TO INITIATE THERAPEUTIC HEALING THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "ROCKETT-DIXON",
        "authorized_official_first_name": "LESHAUNDA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "816-944-0858",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW, AADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leshaunda.rockett-dixon@faiththerapygroup.com",
            "affiliation": "N",
            "endpointDescription": "organization enail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "30 W Pershing Rd Unit 413709",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641417610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 26, 2021; 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.