Active NPI
Deena Watkins
- Professional Counselor
- Liberty, MO
National Provider Identifier
1700321361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2006012627
- Practice address
- 9 Victory Dr Ste 2B
Liberty, MO 64068-3807 - Phone
- (816) 268-8501
- Fax
- (816) 452-5700
- NPI assigned
- Jan 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2006012627 | MO | Primary |
Addresses
Primary practice location
9 Victory Dr Ste 2B
Liberty, MO 64068-3807
Mailing address
4126 NE 82ND St
Kansas City, MO 64119-7600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2006012627 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spirit of Hope Counseling Services, LLC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Liberty, MO
- NPI 1245781525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1700321361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4126 NE 82ND ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641197600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 VICTORY DR STE 2B",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640683807",
"telephone_number": "816-268-8501",
"fax_number": "816-452-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "DEENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-05",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2006012627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.