Individual provider Active NPI

Mark Carey

  • Professional Counselor
  • Kansas City, MO
National Provider Identifier
1710362959
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2015043541 Issued in MO
Practice address
7280 NW 87TH Ter Ste 210
Kansas City, MO 64153-3706
Phone
(816) 944-3224
Fax
(816) 944-3224
NPI assigned
Jul 29, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2015043541 MO
Professional Counselor 101YP2500X 2015043541 MO Primary

Addresses

Primary practice location

7280 NW 87TH Ter Ste 210
Kansas City, MO 64153-3706

Mailing address

1004 NW 113TH St
Kansas City, MO 64155-1891
Phone (816) 739-1603

Other practice location 1

1272 NE Windsor Dr
Lees Summit, MO 64086-5594
Phone (816) 246-4465 ext. 10

Other practice location 2

8629 Bluejacket St
Suite 100
Lenexa, KS 66214-1604
Phone (913) 677-3553

Other identifiers 1

IdentifierTypeStateIssuer
100240930AMedicaidKS

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
2015043541MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Associates PA 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1710362959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 NW 113TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641551891",
            "telephone_number": "816-739-1603",
            "fax_number": "816-944-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 NW 87TH TER STE 210",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641533706",
            "telephone_number": "816-944-3224",
            "fax_number": "816-944-3224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1272 NE Windsor Dr",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640865594",
            "country_code": "US",
            "telephone_number": "816-246-4465 x10",
            "fax_number": "816-524-7008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8629 Bluejacket St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662141604",
            "country_code": "US",
            "telephone_number": "913-677-3553",
            "fax_number": "913-677-3282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAREY",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-29",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2015043541",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2015043541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100240930A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.