Mary Bellcock, LPC
Individual provider Active NPI Counselor · Raytown, MO
NPI 1780786111 · NPPES record last updated Mar 4, 2025
Key facts
- NPI
- 1780786111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 2005036981 (MO)
- Practice address
- 7001 Blue Ridge Blvd
Raytown, MO 64133-5629 - Phone
- (816) 966-0900
- Fax
- (816) 347-3029
- NPI assigned
- Sep 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250407002358 | MO | Practitioner - Mental Health Counselor | 7517481971 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005036981 | MO | MD | Counselor |
| 2735 | KS | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rediscover | Current |
Accepting new patients | |
| Rediscover | Current |
Accepting new patients |
Locations
5904 E Bannister Rd
Kansas City, MO 64134
Phone (816) 966-0903
901 NE Independence Ave
Lees Summit, MO 64086
Phone (816) 246-1800
1555 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 347-3069
7001 Blue Ridge Blvd
Raytown, MO 64133
Phone (816) 988-2739
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2005036981 | MO | Yes |
| Mental Health Counselor | 101YM0800X | 2735 | KS |
Addresses
Primary practice location
7001 Blue Ridge Blvd
Raytown, MO 64133-5629
Mailing address
1555 NE Rice Rd
Lees Summit, MO 64086-5849
Phone (816) 966-0900
Other practice location 1
1125 W Spruce St
Olathe, KS 66061-3123
Phone (913) 826-4200
Other providers in Raytown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.