Individual provider Active NPI

Lisa Jonas, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1699802199
Registry record updated Feb 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2000149483 Issued in MO
Practice address
400 E Red Bridge Rd
Ste 304
Kansas City, MO 64131-4031
Phone
(816) 895-6442
Fax
(816) 895-6441
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2000149483 MO Primary

Addresses

Primary practice location

400 E Red Bridge Rd
Ste 304
Kansas City, MO 64131-4031

Mailing address

2029 Buchanan St
North Kansas City, MO 64116-3405
Phone (816) 221-0305

Other practice location 1

2029 Buchanan St
North Kansas City, MO 64116
Phone (816) 221-0305

Other practice location 2

2546 Holmes St
Kansas City, MO 64108-2743
Phone (816) 221-9121

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2000149483MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Eating Disorders Program of Kansas City, LLC Clinical Past Accepting new patients
John T Bopp PC Clinical Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lisajonas@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613174400000",
    "number": "1699802199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 BUCHANAN ST",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163405",
            "telephone_number": "816-221-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E RED BRIDGE RD",
            "address_2": "STE 304",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314031",
            "telephone_number": "816-895-6442",
            "fax_number": "816-895-6441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2029 Buchanan St",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "64116",
            "country_code": "US",
            "telephone_number": "816-221-0305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2546 Holmes St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082743",
            "country_code": "US",
            "telephone_number": "816-221-9121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONAS",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2000149483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.