Active NPI
Lindsay Renee Frazier
- Professional Counselor
- Gladstone, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 2601 NE Kendallwood Pkwy Ste 208
Gladstone, MO 64119-2164 - Phone
- (816) 359-1102
- NPI assigned
- Sep 9, 2019
- Last updated
- Mar 28, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2019053234 | MO | |
| Professional Counselor | 101YP2500X | 3468 | KS | |
| Professional Counselor | 101YP2500X | MO | Primary |
Addresses
Primary practice location
2601 NE Kendallwood Pkwy Ste 208
Gladstone, MO 64119-2164
Mailing address
812 NE 112TH Ter
Kansas City, MO 64155-1453
Phone (816) 359-1102
Other practice location 1
7001 N Locust St # B105
Gladstone, MO 64118-2531
Phone (816) 359-1102
Other practice location 2
2301 Holmes St
Kansas City, MO 64108-2677
Phone (816) 404-1587
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019053234 | MO | MD | Counselor |
| 3468 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowered Counseling LLC | Counselor | Current | Accepting new patients |
Locations
2601 NE Kendallwood Pkwy
Ste 208
Gladstone, MO 64119
Phone (816) 359-1102
7001 N Locust St
#B105
Gladstone, MO 64118
Phone (816) 359-1102
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.
-
- Professional Counselor
- Gladstone, MO
- NPI 1154988087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616889600000",
"number": "1629627963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 NE 112TH TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641551453",
"telephone_number": "816-359-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 NE KENDALLWOOD PKWY STE 208",
"city": "GLADSTONE",
"state": "MO",
"postal_code": "641192164",
"telephone_number": "816-359-1102"
}
],
"practiceLocations": [
{
"address_1": "7001 N Locust St # B105",
"address_purpose": "LOCATION",
"city": "Gladstone",
"state": "MO",
"postal_code": "641182531",
"country_code": "US",
"telephone_number": "816-359-1102",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2301 Holmes St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641082677",
"country_code": "US",
"telephone_number": "816-404-1587",
"fax_number": "816-404-1519",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRAZIER",
"first_name": "LINDSAY",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-09",
"last_updated": "2021-03-28",
"certification_date": "2021-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2019053234",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "3468",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gladstone, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.