Individual provider Active NPI

Mary Bellcock, LPC

  • Counselor
  • Raytown, MO
National Provider Identifier
1780786111
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2005036981 Issued in MO
Practice address
7001 Blue Ridge Blvd
Raytown, MO 64133-5629
Phone
(816) 966-0900
Fax
(816) 347-3029
NPI assigned
Sep 5, 2006
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2005036981 MO Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20250407002358 MO Practitioner - Mental Health Counselor 7517481971 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2005036981MOMDCounselor
2735KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rediscover CurrentSince Mar 10, 2025 Accepting new patients
Rediscover CurrentSince Mar 10, 2025 Accepting new patients

Locations

5904 E Bannister Rd
Kansas City, MO 64134
Phone (816) 965-1150

1555 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 347-3069

901 NE Independence Ave
Lees Summit, MO 64086
Phone (816) 246-1800

7001 Blue Ridge Blvd
Raytown, MO 64133
Phone (816) 988-2739

Organizations & group practices 2

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1780786111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 NE RICE RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865849",
            "telephone_number": "816-966-0900",
            "fax_number": "816-347-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 BLUE RIDGE BLVD",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641335629",
            "telephone_number": "816-966-0900",
            "fax_number": "816-347-3029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 W Spruce St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660613123",
            "country_code": "US",
            "telephone_number": "913-826-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLCOCK",
        "first_name": "MARY",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2005036981",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "2735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raytown, MO

Sources for this page

Verify at the official NPI Registry.