Active NPI
Central States Mental Health Consultants Inc
- Community/Behavioral Health Agency
- Blue Springs, MO
National Provider Identifier
1700040425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 496720905 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
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.