Organization Active NPI

Halvion Health Group LLC

  • Community/Behavioral Health Agency
  • Kansas City, MO
National Provider Identifier
1790646628
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HALVION HEALTH GROUP LLC
Practice address
4049 Pennsylvania Ave Ste 203
Kansas City, MO 64111-3022
Phone
(816) 248-1039
NPI assigned
Nov 20, 2025
Last updated
Nov 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Serise C Lange
Title
Owner
Phone
(816) 248-1039

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X
Nursing Care Agency 251J00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Nurse Practitioner 363L00000X
Social Worker 104100000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4049 Pennsylvania Ave Ste 203
Kansas City, MO 64111-3022

Mailing address

4049 Pennsylvania Ave Ste 203
Kansas City, MO 64111-3022

National Provider Directory

National Provider Directory

Locations

4049 Pennsylvania Ave
Ste 203
Kansas City, MO 64111
Phone (816) 827-0316

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1790646628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4049 PENNSYLVANIA AVE STE 203",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4049 PENNSYLVANIA AVE STE 203",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113022",
            "telephone_number": "816-248-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALVION HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "SERISE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-248-1039"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.