Individual provider Active NPI

Lori Ann Collins, LCSW

  • Clinical Social Worker
  • Lee's Summit, MO
National Provider Identifier
1750934360
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2019005214 Issued in MO
Practice address
107 SW Market St Ste D
Lees Summit, MO 64063-2360
Phone
(816) 799-1705
NPI assigned
Jul 23, 2019
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2019005214 MO Primary

Addresses

Primary practice location

107 SW Market St Ste D
Lees Summit, MO 64063-2360

Mailing address

309 NW Obrien Rd
Lees Summit, MO 64063-2167
Phone (816) 799-1705

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
I20190906000434 MO Practitioner - Clinical Social Worker 2769711423 Practice locations: Lees Summit, MO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

107 SW Market St
Suite D
Lees Summit, MO 64063-2360

107 SW Market St D
Dba Collins Counseling Services LLC
Lees Summit, MO 64063-2360
Phone (816) 379-9170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Psychological LLC Clinical CurrentSince Feb 23, 2025 Accepting new patients
Country Crossroads Counseling LLC PastSince Feb 18, 2024 Accepting new patients

Locations

107 SW Market St
Ste D
Lees Summit, MO 64063
Phone (816) 379-9170

Organizations & group practices 2

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1750934360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NW OBRIEN RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632167",
            "telephone_number": "816-799-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SW MARKET ST STE D",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632360",
            "telephone_number": "816-799-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2019005214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.