Organization Active NPI

Child & Adolescent Trauma Services LLP

  • Marriage & Family Therapist
  • Kansas City, KS
National Provider Identifier
1689902991
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
839 Issued in KS
Legal business name
CHILD & ADOLESCENT TRAUMA SERVICES LLP
Practice address
630 Minnesota Ave
Suite 210
Kansas City, KS 66101-2806
Phone
(913) 735-4393
Fax
(913) 735-0188
NPI assigned
Nov 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Authorized official

Name
Ian A Newlin, LMFT
Title
Managing Partner
Phone
(913) 735-4393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 839 KS Primary

Addresses

Primary practice location

630 Minnesota Ave
Suite 210
Kansas City, KS 66101-2806

Mailing address

630 Minnesota Ave
Suite 210
Kansas City, KS 66101-2806
Phone (913) 735-4393

National Provider Directory

National Provider Directory

Locations

630 Minnesota Ave
Ste 210
Kansas City, KS 66101
Phone (913) 735-4393

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1689902991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 MINNESOTA AVE",
            "address_2": "SUITE 210",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661012806",
            "telephone_number": "913-735-4393",
            "fax_number": "913-735-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 MINNESOTA AVE",
            "address_2": "SUITE 210",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661012806",
            "telephone_number": "913-735-4393",
            "fax_number": "913-735-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD & ADOLESCENT TRAUMA SERVICES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "NEWLIN",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "913-735-4393",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "839",
            "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 Nov 24, 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.