Organization Active NPI

Lecluyse Counseling Services

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1639625577
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2002001828 Issued in MO
Legal business name
LECLUYSE COUNSELING SERVICES
Practice address
222 W Gregory Blvd
Ste 310
Kansas City, MO 64114-1140
Phone
(816) 916-7281
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
James Michael LecluyseNPI 1396099016
Title
Organizer
Phone
(816) 916-7281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2002001828 MO Primary

Addresses

Primary practice location

222 W Gregory Blvd
Ste 310
Kansas City, MO 64114-1140

Mailing address

209 E 66TH Ter
Kansas City, MO 64113-2339
Phone (816) 916-7281

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160930000940 MO Part B Supplier - Clinic/Group Practice 4486941788 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1639625577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E 66TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641132339",
            "telephone_number": "816-916-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W GREGORY BLVD",
            "address_2": "STE 310",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141140",
            "telephone_number": "816-916-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LECLUYSE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "LECLUYSE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "816-916-7281"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2002001828",
            "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 Aug 31, 2016; 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.