Active NPI
Mark Carey
- Professional Counselor
- Kansas City, MO
National Provider Identifier
1710362959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2015043541
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100240930A | Medicaid | KS |
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 |
|---|---|---|---|
| 2015043541 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Specialist
- Lenexa, KS
- NPI 1477588085
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.