Individual provider Active NPI

John Scott Landregan, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1790829299
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2000170913 Issued in MO
Practice address
2600 E 12TH St
Kansas City, MO 64127
Phone
(816) 965-1100
NPI assigned
Feb 16, 2007
Last updated
Mar 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2000170913 MO Primary

Addresses

Primary practice location

2600 E 12TH St
Kansas City, MO 64127

Mailing address

2600 E 12TH St
Kansas City, MO 64127-1321
Phone (816) 965-1100

Other practice location 1

2600 E 12th St
Kansas City, MO 64127
Phone (816) 965-1100

Other practice location 2

1201 NW Briarcliff Pkwy
Kansas City, MO 64116-1878
Phone (816) 368-2000

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
I20190128000495 MO Practitioner - Clinical Social Worker 6608113741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RediscoverGroup PAC ID 3375453517, 50 clinicians

Practice addresses (Care Compare)

2600 E 12TH St
Kansas City, MO 64127-1321
Phone (816) 965-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2000170913MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rediscover CurrentSince Mar 16, 2019 Accepting new patients
Rediscover CurrentSince Mar 16, 2019 Accepting new patients

Locations

2600 E 12th St
Kansas City, MO 64127
Phone (816) 965-1100

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

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

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1790829299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 E 12TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641271321",
            "telephone_number": "816-965-1100",
            "fax_number": "816-965-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E 12TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64127",
            "telephone_number": "816-965-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 E 12th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "64127",
            "country_code": "US",
            "telephone_number": "816-965-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 NW Briarcliff Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641161878",
            "country_code": "US",
            "telephone_number": "816-368-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDREGAN",
        "first_name": "JOHN",
        "middle_name": "SCOTT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2000170913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.