Midwest Trauma Treatment Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MIDWEST TRAUMA TREATMENT CENTER LLC

Practice address

5750 W 95TH St
Suite 100
Overland Park, KS 66207-2920

Phone

(816) 868-3819

Fax

(816) 400-1887

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Lisa Coleman, LSC&WNPI 1528006335

Title

Owner

Phone

(816) 868-3819

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Midwest Trauma Treatment Center Former legal business name

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Lee Coleman, LSCSW

  • Clinical Social Worker
  • Overland Park, KS
  • NPI 1528006335
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1801075841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 W 95TH ST",
            "address_2": "STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072920",
            "telephone_number": "816-868-3819",
            "fax_number": "816-400-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 W 95TH ST",
            "address_2": "SUITE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072920",
            "telephone_number": "816-868-3819",
            "fax_number": "816-400-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST TRAUMA TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-868-3819",
        "authorized_official_credential": "LSC&W"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498604115",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495005217",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Trauma Treatment Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Larry Kurt Midyett, M.D.
• Avery Mielke
• Elena Miesner, RBT
• Carl V Migliazzo, MD

• Clinical Social Worker in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.