Active NPI
Clinical Counseling Associates of Kansas City LLC
- Mental Health Counselor
- Liberty, MO
National Provider Identifier
1801413133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jill Robinson, MSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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, KS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Addiction (Substance Use Disorder) Counselor
- Liberty, MO
- NPI 1780295360
KS
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.