Active NPI
Victoria Morales
- Professional Counselor
- Mission, KS
National Provider Identifier
1639712722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3016
- Practice address
- 5290 Foxridge Dr
Mission, KS 66202-1567 - Phone
- (816) 221-0305
- NPI assigned
- Oct 22, 2019
- Last updated
- Jun 12, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3016 | KS | Primary |
Addresses
Primary practice location
5290 Foxridge Dr
Mission, KS 66202-1567
Mailing address
12311 W 54TH St
Shawnee, KS 66216-1401
Phone (913) 907-0103
Other practice location 1
12311 W 54th St
Shawnee, KS 66216-1401
Phone (913) 907-0103
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 |
|---|---|---|---|
| 3016 | KS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1639712722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12311 W 54TH ST",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662161401",
"telephone_number": "913-907-0103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5290 FOXRIDGE DR",
"city": "MISSION",
"state": "KS",
"postal_code": "662021567",
"telephone_number": "816-221-0305"
}
],
"practiceLocations": [
{
"address_1": "12311 W 54th St",
"address_purpose": "LOCATION",
"city": "Shawnee",
"state": "KS",
"postal_code": "662161401",
"country_code": "US",
"telephone_number": "913-907-0103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORALES",
"first_name": "VICTORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-22",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "3016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.