Individual provider Active NPI

Mendy Suzanne Shriver

  • Professional Counselor
  • Liberty, MO
National Provider Identifier
1679433742
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2021029480 Issued in MO
Practice address
104 W Kansas St Ste a
Liberty, MO 64068-2359
Phone
(816) 729-2276
NPI assigned
Nov 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2021029480 MO Primary

Addresses

Primary practice location

104 W Kansas St Ste a
Liberty, MO 64068-2359

Mailing address

104 W Kansas St
Liberty, MO 64068-2343
Phone (816) 729-2276

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
2021029480MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jars of Clay Counseling and Wellness Professional CurrentSince Nov 18, 2025 Accepting new patients

Locations

104 W Kansas St
Liberty, MO 64068
Phone (816) 226-7397

104 W Kansas St
Ste A
Liberty, MO 64068
Phone (816) 729-2276

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1679433742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W KANSAS ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682343",
            "telephone_number": "816-729-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W KANSAS ST STE A",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682359",
            "telephone_number": "816-729-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRIVER",
        "first_name": "MENDY",
        "middle_name": "SUZANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-12",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021029480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.