Individual provider Active NPI

Kulea Monique Evans, LPC

  • Professional Counselor
  • Kansas City, MO
National Provider Identifier
1740080357
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2025039421 Issued in MO
Practice address
4049 Pennsylvania Ave Ste 203
Kansas City, MO 64111-3022
Phone
(913) 575-3812
NPI assigned
Mar 14, 2025
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 01277-P KS
Professional Counselor 101YP2500X 2025039421 MO Primary

Addresses

Primary practice location

4049 Pennsylvania Ave Ste 203
Kansas City, MO 64111-3022

Mailing address

4610 NE 63Rd St
Kansas City, MO 64119-5060
Phone (913) 575-3812

Other practice location 1

3312 Clinton Pkwy
Lawrence, KS 66047-3624
Phone (913) 222-8462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251229001131 MO Practitioner - Mental Health Counselor 2668968793 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1643 NW 136 Ave
Sunrise, FL 33323-2857

1643 Nw136 Ave
BLDG H Suite 100
Sunrise, FL 33323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01277-PKSMDAddiction (Substance Use Disorder) Counselor
2025039421MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Pac Healthcare Services of Missouri Inc CurrentSince Dec 8, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Dec 8, 2025 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Dec 8, 2025 Accepting new patients

Locations

800 Chambers Rd
Ferguson, MO 63135
Phone (314) 522-8100

3660 Summit St
Kansas City, MO 64111
Phone (816) 531-1089

1221 S Business Highway 13
Lexington, MO 64067
Phone (660) 259-4695

1600 E Rollins St
Moberly, MO 65270
Phone (660) 263-6887

1210 W Ashland St
Nevada, MO 64772
Phone (417) 667-5064

Organizations & group practices 3

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": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1740080357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 NE 63RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641195060",
            "telephone_number": "913-575-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4049 PENNSYLVANIA AVE STE 203",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113022",
            "telephone_number": "913-575-3812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3312 Clinton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660473624",
            "country_code": "US",
            "telephone_number": "913-222-8462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KULEA",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "01277-P",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2025039421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.