Individual provider Active NPI

Steven Wright Nimrod, LCPC

  • Counselor
  • Leavenworth, KS
National Provider Identifier
1770652281
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
075 Issued in KS
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
B016OtherTRICARE
30863033OtherKSBCBS KC
2193011OtherCIGNA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241009001242 LA Practitioner - Mental Health Counselor 5698099216 Reassigns benefits to 1 organization

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
Finding SolaceGroup PAC ID 2668818972, 14 clinicians

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

LicenseStateTypeSpecialty
075KSMDCounselor
2002012681MOMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Finding Solace Professional CurrentSince Jul 11, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.