Individual provider Active NPI

Alex Richard McEntire, LPC

  • Professional Counselor
  • Kansas City, MO
National Provider Identifier
1629041413
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2004035684 Issued in MO
Practice address
851 NW 45TH St
Suite 104
Kansas City, MO 64116-4628
Phone
(816) 533-5817
NPI assigned
Feb 10, 2006
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2004035684 MO Primary

Addresses

Primary practice location

851 NW 45TH St
Suite 104
Kansas City, MO 64116-4628

Mailing address

851 NW 45TH St
Suite 104
Kansas City, MO 64116-4628
Phone (816) 533-5817

Other identifiers 1

IdentifierTypeStateIssuer
497174003MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20231207002460 MO Practitioner - Mental Health Counselor 1355790940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Holly L RamaekerGroup PAC ID 3274907530, 6 clinicians

Practice addresses (Care Compare)

1420 NW Vivion Rd
Suite 108
Kansas City, MO 64118-4511
Phone (816) 366-5515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2004035684MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Holly L. Ramaeker Professional CurrentSince Sep 1, 2024 Accepting new patients

Locations

1420 NW Vivion Rd
Ste 108
Kansas City, MO 64118
Phone (816) 329-9107

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1629041413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 NW 45TH ST",
            "address_2": "SUITE 104",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641164628",
            "telephone_number": "816-533-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 NW 45TH ST",
            "address_2": "SUITE 104",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641164628",
            "telephone_number": "816-533-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCENTIRE",
        "first_name": "ALEX",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2004035684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497174003",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.