Andrea Peck

Primary specialty

Social WorkerTaxonomy code 104100000X

License

4979 Issued in KS

Practice address

7211 NW 83Rd St Ste 202
Kansas City, MO 64152-6022

Phone

(816) 383-3351

NPI assigned

Apr 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peck Counseling, LLC

  • Clinical Social Worker
  • Kansas City, MO
  • NPI 1740046416
  NPD Authorized official
• Creative Connections, LLC

  • Mental Health Counselor
  • Overland Park, KS
  • NPI 1033584784
  NPD (past)

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

{
    "created_epoch": "1555113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1629531827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 NW 83RD ST STE 202",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641526022",
            "telephone_number": "816-383-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 NW 83RD ST STE 202",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641526022",
            "telephone_number": "816-383-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-13",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2019007777",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "4979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas A Pearson, DDS
• Jared Don Pearson, DDS
• Jocelyn M. Pearson, D.O.
• Kathryne Pearson
• Peck Counseling, LLC
• Megan Anne Nicole Peck, RBT
• Mercedes K Peck
• Anthony Paul Pecoraro, MD
• Jodi L Pedersen, DC, BS
• Natalie Bliss Pederson, DPT

• Social Worker in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.