Individual provider Active NPI

Madeline Jane Cramer

  • Mental Health Counselor
  • Lee's Summit, MO
National Provider Identifier
1689230344
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2017027560 Issued in MO
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

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1972839587OtherNPI
2017027560OtherMOMO LPC LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
2017027560MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Counseling LLC Professional CurrentSince Jun 12, 2022 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.

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

Verify at the official NPI Registry.