Individual provider Active NPI

Shakea Roper, LSCSW

  • Clinical Social Worker
  • Lawrence, KS
National Provider Identifier
1780983593
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05430 Issued in KS
Practice address
200 Maine St Ste a
Lawrence, KS 66044-1390
Phone
(785) 830-1798
Fax
(785) 842-8966
NPI assigned
Mar 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2010036738 MO
Clinical Social Worker 1041C0700X 2021017002 MO
Clinical Social Worker 1041C0700X 05430 KS Primary

Addresses

Primary practice location

200 Maine St Ste a
Lawrence, KS 66044-1390

Mailing address

1538 E 80TH St
Kansas City, MO 64131-2358
Phone (660) 238-4071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO, PA, UT, MT, ND6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20211026002180 KS Practitioner - Clinical Social Worker 3678961570 Reassigns benefits to 4 organizations
I20221109002098 MO Practitioner - Clinical Social Worker 3678961570 Reassigns benefits to 2 organizations
I20230519000642 PA Practitioner - Clinical Social Worker 3678961570 Reassigns benefits to 1 organization
I20230525003390 UT Practitioner - Clinical Social Worker 3678961570 Reassigns benefits to 2 organizations
I20230526000876 MT Practitioner - Clinical Social Worker 3678961570 Reassigns benefits to 2 organizations
I20230526001643 ND Practitioner - Clinical Social Worker 3678961570 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010036738MOMDSocial Worker
05430KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group KS, P.a. CurrentSince May 1, 2025 Accepting new patients
Total Life Ca, P.C. CurrentSince Jan 1, 2022 Accepting new patients
Bert Nash Community Mental Health Center Inc CurrentSince Sep 20, 2021 Accepting new patients
Grow Healthcare Group of Kansas PA Clinical CurrentSince Sep 20, 2023 Accepting new patients
Total Life Inc. CurrentSince Jul 21, 2022 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 22, 2023 Accepting new patients
Midtown Psychological Services, Inc. Past Accepting new patients
Mental Health Specialty Group PA Past Accepting new patients
Dr.Harry R. Davidson, PHD LLC Past Accepting new patients

Locations

110 Front St
Jupiter, FL 33477
Phone (561) 839-9653

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1632 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 491-2116

200 Maine St
Ste A
Lawrence, KS 66044
Phone (785) 832-8192

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353

801 E Douglas Ave
Wichita, KS 67202
Phone (316) 217-2984

3430 McKelvey Rd
Ste L
Bridgeton, MO 63044
Phone (314) 475-5955

7280 NW 87th Ter
Ste 210
Kansas City, MO 64153
Phone (816) 841-7735

4625 Lindell Blvd
Ste 200
Saint Louis, MO 63108
Phone (314) 833-8765

5 W Mendenhall St
Bozeman, MT 59715
Phone (405) 335-8182

5 W Mendenhall St
Ste 202
Bozeman, MT 59715
Phone (406) 219-7233

3523 45th St S
Fargo, ND 58104
Phone (701) 747-9701

3753 Howard Hughes Pkwy
Ste 200
Las Vegas, NV 89169
Phone (702) 919-6580

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

240 N East Promontory
Ste 200
Farmington, UT 84025
Phone (801) 218-3500

240 N East Promontory
Farmington, UT 84025
Phone (385) 390-3579

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1780983593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 E 80TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641312358",
            "telephone_number": "660-238-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAINE ST STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441390",
            "telephone_number": "785-830-1798",
            "fax_number": "785-842-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROPER",
        "first_name": "SHAKEA",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2010036738",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021017002",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.