Individual provider Active NPI

Melinda Lee Guyles, LCSW

  • Clinical Social Worker
  • Lees Summit, MO
National Provider Identifier
1700809779
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2012036069 Issued in MO
Practice address
300 SE 2ND St Ste 100
Lees Summit, MO 64063-2759
Phone
(816) 404-6170
Fax
(816) 404-6171
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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 2012036069 MO Primary

Addresses

Primary practice location

300 SE 2ND St Ste 100
Lees Summit, MO 64063-2759

Mailing address

300 SE. Second St. Ste. 100
Lee'S Summit, MO 64063
Phone (816) 404-6170

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

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1700809779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SE. SECOND ST. STE. 100",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "64063",
            "telephone_number": "816-404-6170",
            "fax_number": "816-404-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SE 2ND ST STE 100",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632759",
            "telephone_number": "816-404-6170",
            "fax_number": "816-404-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUYLES",
        "first_name": "MELINDA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2012036069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.