Individual provider Active NPI

Lindsay Renee Frazier

  • Professional Counselor
  • Gladstone, MO
National Provider Identifier
1629627963
Registry record updated Mar 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2019053234MOMDCounselor
3468KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Counseling LLC Counselor CurrentSince Sep 1, 2019 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.

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.

Verify at the official NPI Registry.