Active NPI
Steven Wright Nimrod, LCPC
- Counselor
- Leavenworth, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 075
- Practice address
- 3515 S 4TH Street
Professional Association
Leavenworth, KS 66048 - Phone
- (913) 951-8415
- Fax
- (913) 772-8580
- NPI assigned
- Nov 7, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 075 | KS | Primary |
| Counselor | 101Y00000X | 2002012681 | MO |
Addresses
Primary practice location
3515 S 4TH Street
Professional Association
Leavenworth, KS 66048
Mailing address
PO Box 860513
Shawnee Mission, KS 66286
Phone (913) 530-2426
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B016 | Other | TRICARE | |
| 30863033 | Other | KS | BCBS KC |
| 2193011 | Other | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
403 N 6TH St
Suite 2
West Monroe, LA 71291-4119
Phone (318) 737-7201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075 | KS | MD | Counselor |
| 2002012681 | MO | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Finding Solace | Professional | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Counselor | Current | Accepting new patients |
| Partners in Counseling PA | Professional | Current | Accepting new patients |
| Frederick J Tirrell PHD Professional Association | Past | Accepting new patients |
Locations
403 N 6th St
Ste 2
West Monroe, LA 71291
Phone (318) 737-7201
Interoperability endpoints
- stevennimrod@tdh.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Professional Counselor
- West Monroe, LA
- NPI 1205231461
-
- Professional Counselor
- Overland Park, KS
- NPI 1336304914
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Counselor
-
dba Professional Association
- Psychologist
- Leavenworth, KS
- NPI 1013076215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770652281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860513",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "66286",
"telephone_number": "913-530-2426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 S 4TH STREET",
"address_2": "PROFESSIONAL ASSOCIATION",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "66048",
"telephone_number": "913-951-8415",
"fax_number": "913-772-8580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIMROD",
"first_name": "STEVEN",
"middle_name": "WRIGHT",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KS",
"license": "075",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2002012681",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "B016",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "30863033",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2193011",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.