Adrianna Elizabeth Mock, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2019006168 Issued in MO

Practice address

3100 NE 83Rd St Ste 1001
Kansas City, MO 64119-4460

Phone

(816) 468-0400

NPI assigned

Sep 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tri-County Mental Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kansas City, MO
  • NPI 1629080965
  Medicare reassignment NPD

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1679244669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11406 N MARSH AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641571157",
            "telephone_number": "816-305-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NE 83RD ST STE 1001",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641194460",
            "telephone_number": "816-468-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCK",
        "first_name": "ADRIANNA",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2019006168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Moberly, OTR
• Mobile Ultrasound LLC
• Mobility Designed Inc
• James Robert Mobley, DDS
• Jason A Moburg, DNP, FNP- BC, APRN
• Modern Arc Wellness LLC
• Modern Physical Therapy PC
• Ann C Modrcin, M.D.
• Kirsten Mody
• Mykayla Anne Moeschen, FNP

• Professional Counselor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.