Individual provider Active NPI

Andrea Jones-Peeples, PSY.D.

  • Clinical Psychologist
  • Kansas City, MO
National Provider Identifier
1730435371
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2016001211 Issued in MO
Practice address
9233 Ward Pkwy Ste 360
Kansas City, MO 64114-3360
Phone
(816) 822-1922
Fax
(816) 822-2248
NPI assigned
Aug 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2016001211 MO Primary

Addresses

Primary practice location

9233 Ward Pkwy Ste 360
Kansas City, MO 64114-3360

Mailing address

9233 Ward Pkwy Ste 360
Kansas City, MO 64114-3360
Phone (816) 822-1922

Other practice location 1

8080 Ward Pkwy
Suite 230
Kansas City, MO 64114-2034
Phone (816) 822-1922

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
2016001211MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Psychology Billing Services, LLC Clinical PastSince Jul 24, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730435371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9233 WARD PKWY STE 360",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143360",
            "telephone_number": "816-822-1922",
            "fax_number": "816-822-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9233 WARD PKWY STE 360",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143360",
            "telephone_number": "816-822-1922",
            "fax_number": "816-822-2248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8080 Ward Pkwy",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641142034",
            "country_code": "US",
            "telephone_number": "816-822-1922",
            "fax_number": "816-822-2248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES-PEEPLES",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2016001211",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 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.