Individual provider Active NPI

Marquitta J Fields, S-MFT

  • Marriage & Family Therapist
  • Kansas City, MO
National Provider Identifier
1730655150
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2008018147 Issued in MO
Practice address
4110 Baltimore Ave
Kansas City, MO 64111-2303
Phone
(816) 651-2214
NPI assigned
Oct 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2012022112 MO
Marriage & Family Therapist 106H00000X 2008018147 MO Primary

Addresses

Primary practice location

4110 Baltimore Ave
Kansas City, MO 64111-2303

Mailing address

12609 Fountain Lake Dr
Grandview, MO 64030-1599
Phone (816) 651-2214

Other practice location 1

12609 Fountain Lake Dr
Grandview, MO 64030-1599
Phone (816) 651-2214

Other practice location 2

1511 Westport Rd Ste A
Kansas City, MO 64111-4301
Phone (816) 651-2214

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
2008018147MOMDMarriage & Family Therapist
2012022112MOMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1730655150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12609 FOUNTAIN LAKE DR",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640301599",
            "telephone_number": "816-651-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 BALTIMORE AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112303",
            "telephone_number": "816-651-2214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12609 Fountain Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Grandview",
            "state": "MO",
            "postal_code": "640301599",
            "country_code": "US",
            "telephone_number": "816-651-2214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1511 Westport Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641114301",
            "country_code": "US",
            "telephone_number": "816-651-2214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "MARQUITTA",
        "middle_name": "J",
        "credential": "S-MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2012022112",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2008018147",
            "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 Sep 30, 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.