Active NPI
Lane William Jordan, PLPC
- Counselor
- Kansas City, MO
National Provider Identifier
1629652870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2020043174
- Practice address
- 6501 E Commerce Ave Ste 140
Kansas City, MO 64120-2194 - Phone
- (816) 281-1218
- NPI assigned
- May 12, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2020043174 | MO | Primary |
Addresses
Primary practice location
6501 E Commerce Ave Ste 140
Kansas City, MO 64120-2194
Mailing address
6501 E Commerce Ave Ste 140
Kansas City, MO 64120-2194
Phone (816) 281-1218
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 |
|---|---|---|---|
| 2020043174 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1629652870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 E COMMERCE AVE STE 140",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641202194",
"telephone_number": "816-281-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 E COMMERCE AVE STE 140",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641202194",
"telephone_number": "816-281-1218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "LANE",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "PLPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-12",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2020043174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 12, 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.