Jessica Liddell, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2019039850 Issued in MO

Practice address

400 E Red Bridge Rd Ste 314
Kansas City, MO 64131-4031

Phone

(816) 892-0474

NPI assigned

Oct 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Swain Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cornerstones of Care

  • Mental Illness Community Based Residential Treatment Facility
  • Kansas City, MO
  • NPI 1720447212

  Professional

  NPD (past)

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1730722794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E RED BRIDGE RD STE 314",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314031",
            "telephone_number": "816-892-0474",
            "fax_number": "816-508-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E RED BRIDGE RD STE 314",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314031",
            "telephone_number": "816-892-0474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E 36th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641111410",
            "country_code": "US",
            "telephone_number": "816-508-1700",
            "fax_number": "816-508-1757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIDDELL",
        "first_name": "JESSICA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2019039850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SWAIN",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James H Lichauer, PHARM.D.
• Jasmine Elizabeth Lichtl, LCSW
• Amber Licklider
• Kaitlyn Suzanne Lickteig
• Natalie Christine Lickteig, FNP-BC
• Melissa Sue Liddle, ARNP
• Susan P Lieber
• William Lieberknecht, RN
• Amy Lieberman
• Susan Lieberman, PH.D.

• Professional Counselor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.