Individual provider Active NPI

Brandon Price, MDIV, LMSW

  • Mental Health Counselor
  • Kansas City, KS
National Provider Identifier
1699348490
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12166 Issued in KS
Practice address
2708 W 43Rd Ave
Kansas City, KS 66103-3125
Phone
(913) 708-8247
NPI assigned
Jul 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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 12166 KS Primary

Addresses

Primary practice location

2708 W 43Rd Ave
Kansas City, KS 66103-3125

Mailing address

10300 E 81St St
Raytown, MO 64138-2110
Phone (804) 840-3550

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
12166KSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Uplift Training Center CurrentSince Jul 25, 2021 Accepting new patients

Locations

2708 W 43rd Ave
Kansas City, KS 66103
Phone (913) 488-2690

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1699348490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 E 81ST ST",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641382110",
            "telephone_number": "804-840-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 W 43RD AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661033125",
            "telephone_number": "913-708-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "MDIV, LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "12166",
            "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 Jul 20, 2021; 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.