Active NPI
Madeline Jane Cramer
- Mental Health Counselor
- Lee's Summit, MO
National Provider Identifier
1689230344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2017027560
- Practice address
- 9220 Cyclone School Rd
Lees Summit, MO 64064-2611 - Phone
- (816) 286-4803
- Fax
- (888) 827-4136
- NPI assigned
- May 17, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2017027560 | MO | Primary |
Addresses
Primary practice location
9220 Cyclone School Rd
Lees Summit, MO 64064-2611
Mailing address
9220 Cyclone School Rd
Lees Summit, MO 64064-2611
Phone (816) 286-4803
Other practice location 1
656 SE Bayberry Ln Ste 105
Lees Summit, MO 64063-4300
Phone (816) 286-8034
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972839587 | Other | NPI | |
| 2017027560 | Other | MO | MO LPC LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Faxage.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017027560 | MO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope Counseling LLC | Professional | Current | Accepting new patients |
Locations
656 SE Bayberry Ln
Ste 105
Lees Summit, MO 64063
Phone (816) 524-5572
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.
-
dba Judy Gardner Counseling
- Community/Behavioral Health Agency
- Lee's Summit, MO
- NPI 1952619629
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1689230344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9220 CYCLONE SCHOOL RD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640642611",
"telephone_number": "816-286-4803",
"fax_number": "888-827-4136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 CYCLONE SCHOOL RD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640642611",
"telephone_number": "816-286-4803",
"fax_number": "888-827-4136"
}
],
"practiceLocations": [
{
"address_1": "656 SE Bayberry Ln Ste 105",
"address_purpose": "LOCATION",
"city": "Lees Summit",
"state": "MO",
"postal_code": "640634300",
"country_code": "US",
"telephone_number": "816-286-8034",
"fax_number": "888-827-4136",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAMER",
"first_name": "MADELINE",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-17",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2017027560",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1972839587",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO LPC LICENSE",
"identifier": "2017027560",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Faxage.com",
"affiliation": "N",
"endpointDescription": "Encrypted Facsimile",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Facsimile",
"address_1": "9220 Cyclone School Rd",
"city": "Lees Summit",
"state": "MO",
"country_code": "US",
"postal_code": "640642611",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.