NPIMap

Organization Active NPI

Tri-County Mental Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kansas City, MO
National Provider Identifier
1629080965
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TRI-COUNTY MENTAL HEALTH SERVICES, INC.
Practice address
3100 NE 83Rd St
Suite 1001
Kansas City, MO 64119-4460
Phone
(816) 468-0400
Fax
(816) 468-6635
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Christina Marie Holm
Title
Chief Quality & Compliance Officer
Phone
(816) 468-0400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3100 NE 83Rd St
Suite 1001
Kansas City, MO 64119-4460

Mailing address

3100 NE 83Rd St
Suite 1001
Kansas City, MO 64119-4460
Phone (816) 468-0400

Other identifiers 1

IdentifierTypeStateIssuer
563039205MedicaidMO

Other names 1

  • Beacon Mental Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040126000910 MO Part B Supplier - Clinic/Group Practice 8426950718 Receives reassigned benefits from 45 practitioners
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory
Tax ID family
Beacon Mental Health10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1629080965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 NE 83RD ST",
            "address_2": "SUITE 1001",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641194460",
            "telephone_number": "816-468-0400",
            "fax_number": "816-468-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NE 83RD ST",
            "address_2": "SUITE 1001",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641194460",
            "telephone_number": "816-468-0400",
            "fax_number": "816-468-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY MENTAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF QUALITY & COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "816-468-0400"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "563039205",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.