Organization Active NPI

Soul Care Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kansas City, KS
National Provider Identifier
1689816100
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
314 Issued in KS
Legal business name
SOUL CARE COUNSELING, LLC
Practice address
12165 Parallel Pkwy
Kansas City, KS 66109-4536
Phone
(913) 515-6919
Fax
(913) 721-2154
NPI assigned
Mar 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Authorized official

Name
Barbara Cleverdon, LCMFTNPI 1366767659
Title
Ceo
Phone
(913) 515-6919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 314 KS Primary

Addresses

Primary practice location

12165 Parallel Pkwy
Kansas City, KS 66109-4536

Mailing address

12165 Parallel Pkwy
Kansas City, KS 66109-4536
Phone (913) 515-6919

National Provider Directory

National Provider Directory
Tax ID family
Soul Care Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1689816100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12165 PARALLEL PKWY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094536",
            "telephone_number": "913-515-6919",
            "fax_number": "913-721-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12165 PARALLEL PKWY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094536",
            "telephone_number": "913-515-6919",
            "fax_number": "913-721-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL CARE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "CLEVERDON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-515-6919",
        "authorized_official_credential": "LCMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KS",
            "license": "314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.