Intentional Challenge, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

787 Issued in KS

Legal business name

INTENTIONAL CHALLENGE, LLC

Practice address

11100 Ash St
Suite 100
Leawood, KS 66211-1925

Phone

(913) 568-8276

Fax

(913) 696-1403

NPI assigned

Apr 2, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Bryan E Vignery, LCPC

Title

Owner

Phone

(913) 568-8276

Specialties & licenses 1

Addresses

Other names 1

• Bryan E. Vignery, Inc Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelley Louann Bartel, L.S.C.S.W.

  • Clinical Social Worker
  • Leawood, KS
  • NPI 1932322757
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1780079103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 ASH ST",
            "address_2": "SUITE 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111925",
            "telephone_number": "913-568-8276",
            "fax_number": "913-696-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 ASH ST",
            "address_2": "SUITE 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111925",
            "telephone_number": "913-568-8276",
            "fax_number": "913-696-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL CHALLENGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "VIGNERY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-568-8276",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryan E. Vignery, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.