Active NPI
Richard Charles Archer, LSCSW
- Clinical Social Worker
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1170
- Practice address
- 4400 Broadway Ste 520
Kansas City, MO 64111-3342 - Phone
- (816) 960-7600
- Fax
- (816) 960-7699
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1170 | KS | Primary |
Addresses
Primary practice location
4400 Broadway Ste 520
Kansas City, MO 64111-3342
Mailing address
901 E 104TH St
Mailstop 400S
Kansas City, MO 64131
Phone (816) 502-7117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4400 Broadway
Suite 520
Kansas City, MO 64111-3342
Phone (816) 531-4080
4400 Broadway Blvd
Kansas City, MO 64111-3342
601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700
601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1170 | KS | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Current | Accepting new patients |
Locations
5405 W 151st St
Leawood, KS 66224
Phone (913) 323-8830
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
12330 Metcalf Ave
Ste 200
Overland Park, KS 66213
Phone (816) 531-4080
901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117
5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100
4400 Broadway Blvd
Ste 520
Kansas City, MO 64111
Phone (816) 531-4080
20 NE Saint Lukes Blvd
Ste 300
Lees Summit, MO 64086
Phone (816) 531-4080
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Interoperability endpoints
- rarcher218255@direct.saint-lukes.org
Organizations & group practices 1
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": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1790767218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 104TH ST",
"address_2": "MAILSTOP 400S",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64131",
"telephone_number": "816-502-7117",
"fax_number": "816-932-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 BROADWAY STE 520",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113342",
"telephone_number": "816-960-7600",
"fax_number": "816-960-7699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHER",
"first_name": "RICHARD",
"middle_name": "CHARLES",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "1170",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.