Organization Active NPI

Central States Mental Health Consultants Inc

  • Community/Behavioral Health Agency
  • Blue Springs, MO
National Provider Identifier
1700040425
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CENTRAL STATES MENTAL HEALTH CONSULTANTS INC
Practice address
1132 SW Luttrell Rd Ste F
Blue Springs, MO 64015-4900
Phone
(816) 224-4417
NPI assigned
Jul 11, 2008
Last updated
Jul 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Mr. Patrick J Hickey, LCSW
Title
Ceo
Phone
(816) 224-4417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1132 SW Luttrell Rd Ste F
Blue Springs, MO 64015-4900

Mailing address

1132 SW Luttrell Rd Ste F
Blue Springs, MO 64015-4900

Other identifiers 1

IdentifierTypeStateIssuer
496720905MedicaidMO

National Provider Directory

National Provider Directory

Locations

1132 SW Luttrell Rd
Ste F
Blue Springs, MO 64015
Phone (816) 224-4417

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1700040425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 SW LUTTRELL RD STE F",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640154900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 SW LUTTRELL RD STE F",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640154900",
            "telephone_number": "816-224-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL STATES MENTAL HEALTH CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-224-4417",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "496720905",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.