Verge KC LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VERGE KC LLC

Practice address

4121 W 83Rd St Ste 227
Prairie Village, KS 66208-5323

Phone

(913) 270-2401

NPI assigned

Nov 13, 2020

Organization subpart

No

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

Authorized official

Name

Joy Durham, LSCSW, LCSW, LMAC

Title

Therapist

Phone

(913) 270-2401

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1780286757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W GREGORY BLVD UNIT 8645",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 W 83RD ST STE 227",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085323",
            "telephone_number": "913-270-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERGE KC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "913-270-2401",
        "authorized_official_credential": "LSCSW, LCSW, LMAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.