Organization Active NPI

Modern Arc Wellness LLC

Doing business as Modern Arc Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kansas City, MO
National Provider Identifier
1801571765
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MODERN ARC WELLNESS LLC
Doing business as
Modern Arc Wellness
Practice address
5709 NW 64TH Ter
Kansas City, MO 64151-2382
Phone
(816) 216-6480
NPI assigned
Jun 19, 2023
Last updated
Jun 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Ms. Danyell Brown, LPC, LCPC, NCCNPI 1497364715
Title
Co-Founder
Phone
(816) 383-3466

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5709 NW 64TH Ter
Kansas City, MO 64151-2382

Mailing address

5709 NW 64TH Ter
Kansas City, MO 64151-2382
Phone (816) 383-3466

Other names 1

  • Modern Arc Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1801571765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 NW 64TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512382",
            "telephone_number": "816-383-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5709 NW 64TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512382",
            "telephone_number": "816-216-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN ARC WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DANYELL",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "816-383-3466",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LCPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Arc Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.