NPIMap

Organization Active NPI

Clinical Counseling Associates of Kansas City LLC

  • Mental Health Counselor
  • Liberty, MO
National Provider Identifier
1801413133
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CLINICAL COUNSELING ASSOCIATES OF KANSAS CITY LLC
Practice address
100 Westwoods Dr
Liberty, MO 64068-1181
Phone
(816) 781-8550
Fax
(816) 792-3219
NPI assigned
Jul 2, 2020
Last updated
Dec 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Jill Robinson, MSWNPI 1932686078
Title
Owner
Phone
(816) 781-8550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

100 Westwoods Dr
Liberty, MO 64068-1181

Mailing address

100 Westwoods Dr
Liberty, MO 64068-1181
Phone (816) 781-8550

Other practice location 1

5800 Foxridge Dr Ste 420
Mission, KS 66202-2357
Phone (816) 781-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210301001834 MO Part B Supplier - Clinic/Group Practice 9234545153 Receives reassigned benefits from 14 practitioners
Practice locations: Kansas City, MO; Liberty, MO
O20220901001706 KS Part B Supplier - Clinic/Group Practice 9234545153 Receives reassigned benefits from 6 practitioners
Practice locations: Mission, KS

National Provider Directory

National Provider Directory

Locations

5800 Foxridge Dr
Ste 420
Mission, KS 66202
Phone (816) 781-8550

7200 NW 86th St
Ste F
Kansas City, MO 64153
Phone (816) 503-6456

30 Westwoods Dr
Liberty, MO 64068
Phone (816) 781-8550

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1801413133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WESTWOODS DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681181",
            "telephone_number": "816-781-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WESTWOODS DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681181",
            "telephone_number": "816-781-8550",
            "fax_number": "816-792-3219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5800 Foxridge Dr Ste 420",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "KS",
            "postal_code": "662022357",
            "country_code": "US",
            "telephone_number": "816-781-8550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLINICAL COUNSELING ASSOCIATES OF KANSAS CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-781-8550",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.