Amanda Bargallo, LMSW
Individual provider Active NPI Mental Health Counselor · Mission, KS
NPI 1699368332 · NPPES record last updated Feb 13, 2021
Key facts
- NPI
- 1699368332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 10188 (KS)
- Practice address
- 5300 Foxridge Dr
Mission, KS 66202-1554 - Phone
- (816) 221-0305
- Fax
- (816) 221-9121
- NPI assigned
- Feb 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10188 | KS | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10188 | KS | Yes |
Addresses
Primary practice location
5300 Foxridge Dr
Mission, KS 66202-1554
Mailing address
2029 Buchanan St
Kansas City, MO 64116-3405
Phone (816) 221-0305
Other providers in Mission, KS
- B&L Medical Group LLC
- Mariam Bahadori
- Hope Suzanne Baier-Cannon
- Shannon Nichole Baisden
- Samantha Barbosa
- Erin Barger
- Connelly Barnes
- Andrea Baskfield-Mathis
- Dylan Bastian
- Connor Bayless
All providers in Mission, KS · Mental Health Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.