Active NPI
Rene Thomsen
- Professional Counselor
- Kansas City, MO
National Provider Identifier
1770011017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2017029711
- Practice address
- 222 W Gregory Blvd Ste 120
Kansas City, MO 64114 - Phone
- (816) 875-9896
- Fax
- (816) 379-3748
- NPI assigned
- May 31, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 2017029711 | MO | Primary |
Addresses
Primary practice location
222 W Gregory Blvd Ste 120
Kansas City, MO 64114
Mailing address
222 W Gregory Blvd Ste 120
Kansas City, MO 64114-1145
Phone (816) 875-9896
Other practice location 1
6155 Oak St Ste B
Kansas City, MO 64113-2266
Phone (181) 660-7177
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2017029711 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restore Counseling | Mental Health | Past | Accepting new patients |
| Attachment and Trauma Therapy LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Kansas City, MO
- NPI 1720592330
-
- Mental Health Counselor
- Kansas City, MO
- NPI 1003344276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1770011017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 W GREGORY BLVD STE 120",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641141145",
"telephone_number": "816-875-9896",
"fax_number": "816-379-3748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 W GREGORY BLVD STE 120",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64114",
"telephone_number": "816-875-9896",
"fax_number": "816-379-3748"
}
],
"practiceLocations": [
{
"address_1": "6155 Oak St Ste B",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641132266",
"country_code": "US",
"telephone_number": "181-660-7177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMSEN",
"first_name": "RENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-31",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2017029711",
"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 Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.