Individual provider Active NPI

Kristen Lea West, LCSW

  • Clinical Social Worker
  • Lees Summit, MO
National Provider Identifier
1710015524
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2011012789 Issued in MO
Practice address
409 SE Douglas St
Lees Summit, MO 64063-4246
Phone
(314) 348-1021
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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 2011012789 MO Primary

Addresses

Primary practice location

409 SE Douglas St
Lees Summit, MO 64063-4246

Mailing address

99 Z St
Lake Lotawana, MO 64086-9769
Phone (314) 348-1021

Other practice location 1

4731 S Cochise Dr Ste 206
Independence, MO 64055-6975
Phone (816) 373-6433

Other names 1

  • Ms. Kristen Lea Whittle Former name

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

LicenseStateTypeSpecialty
2011012789MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Psychiatric and Psychological Services, LLC Past Accepting new patients
Memoir Counseling, LLC PastSince Apr 5, 2020 Accepting new patients

Organizations & group practices 2

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1710015524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 Z ST",
            "city": "LAKE LOTAWANA",
            "state": "MO",
            "postal_code": "640869769",
            "telephone_number": "314-348-1021",
            "fax_number": "816-774-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 SE DOUGLAS ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640634246",
            "telephone_number": "314-348-1021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4731 S Cochise Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640556975",
            "country_code": "US",
            "telephone_number": "816-373-6433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "KRISTEN",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2011012789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "WHITTLE",
            "middle_name": "LEA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 10, 2019; 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.